王燕, 郭蕊, 王淑杰, 周秀梅. 冶炼厂燃气爆炸致肺爆震伤合并烧伤1例[J]. 职业卫生与应急救援, 2024, 42(1): 121-123. DOI: 10.16369/j.oher.issn.1007-1326.2024.01.027
引用本文: 王燕, 郭蕊, 王淑杰, 周秀梅. 冶炼厂燃气爆炸致肺爆震伤合并烧伤1例[J]. 职业卫生与应急救援, 2024, 42(1): 121-123. DOI: 10.16369/j.oher.issn.1007-1326.2024.01.027
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WANG Yan, GUO Rui, WANG Shujie, ZHOU Xiumei. A case of lung blast injury combined with burns caused by gas explosion in a smelter[J]. Occupational Health and Emergency Rescue, 2024, 42(1): 121-123. DOI: 10.16369/j.oher.issn.1007-1326.2024.01.027
Citation: WANG Yan, GUO Rui, WANG Shujie, ZHOU Xiumei. A case of lung blast injury combined with burns caused by gas explosion in a smelter[J]. Occupational Health and Emergency Rescue, 2024, 42(1): 121-123. DOI: 10.16369/j.oher.issn.1007-1326.2024.01.027
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冶炼厂燃气爆炸致肺爆震伤合并烧伤1例

A case of lung blast injury combined with burns caused by gas explosion in a smelter

    摘要
  • 摘要: 对1例冶炼厂燃气爆炸事故致肺爆震伤合并烧伤患者的救治经过进行了报道。患者入院1 d后发生顽固性低氧血症，行纤维支气管镜检查发现支气管黏膜表面广泛附着黄色黏稠膜状分泌物，严重影响肺部气体交换，给予肺泡灌洗配合吸引后，机体缺氧症状明显缓解，配合其他常规治疗后治愈出院。爆震伤后肺泡渗出、水肿、出血等因素伴随炎症反应及氧化应激增强，白细胞、上皮细胞和渗出物聚集可能是形成黄色黏稠膜状物质的重要原因。分时段肺泡灌洗与纤维支气管镜下靶向性负压吸引是清除气道膜状分泌物、改善患者气体交换的有效治疗手段。

     

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