ventilating_burn_patients_with_inhalational_injury_-_anthony_holley.pdf

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    D A HI

    B H

    A

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    22

    40

    = 158

    B C C 2012

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    Body Surface Area Burn Distribution

    15

    20

    25

    30

    35

    40

    Patient%

    =158

    0

    5

    B

    urn:

    0-9%

    Burn:10-19%

    B

    urn:20

    -29

    B

    urn:30

    -39

    B

    urn:40

    -49

    B

    urn:50

    -59

    B

    urn:60

    -69

    B

    urn:70

    -79

    B

    urn:80

    -89

    Bu

    rn:90-10

    0

    Burn

    oforoph

    aryn

    x

    Burn %

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    8.22%

    . .

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    Characteristic Value

    Total Patients n=158

    APACHE II median (IQR) 16 (IQR 12-20)

    Died in ICU n=13 (8.23%)

    Ward/Home n=144 (91.14%)

    Male 82%

    ICU LOS (days) median (IQR) 5.955 (1.13-15.67)

    Oropharyngeal burns n=15 (9%)

    Acute Kidney Injury ( Creatinine > 133 umol/L) n=25 (16%)

    Acute respiratory distress (PaO2/FiO2 < 200) n=118 (75%)

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    B

    B 20 %

    1940.

    .

    I

    .

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    22%

    60% .

    .

    80%90%

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    %BA .

    %

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    E

    C

    L

    : , (,), , ,

    , , ,

    ,

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    C

    /

    N A

    B 72

    . 1991; 31:14771486

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    :

    ( 48 ) .

    (2 6

    ( )

    .

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    C

    . 12 : 1; 2010

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    E M L

    I

    C/

    C

    AD AD AD

    C B

    AD B

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    60%

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    :

    E . B C 2010 ;31(5):7015.

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    :

    = 11,143 .

    11.4% ( = 1,272) .

    21.3% .

    .

    ,

    .

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    /

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    B 0.79

    0.94

    . , , , .

    : . . 1994;36:5967.

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    . . 2007; 28:8083

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    C /

    .

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    C .

    H

    . I >

    .

    .

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    .

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    C !

    2 > 94%

    EE

    2

    C2 < 60 H

    46 /K

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    ..

    (IM) C

    C

    .

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    ()

    F .

    .

    A .

    C

    .

    .

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    F

    HF

    .

    M

    .

    ,

    /F

    .

    , , .

    . 1999;20(3):2325.

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    :

    . ; 2010: 38(10) 19701977

    HF = 31

    AD (L ) = 31

    28 .

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    N

    /F

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    /F

    . ; 2010: 38(10) 19701977

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    C

    L

    G HF ,

    1/3 L

    , ,

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    B.

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    D 548

    1200

    .

    F 3 ( 28)

    47% F . 35% F 1.33 , 95% 1.09

    1.64; = 0.005

    A F ,

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    A

    45

    C

    E

    H

    B

    D

    M

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    6. D .

    7. .

    8.

    9.

    &

    10. D .

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