小结
定义
病史和体格检查
关键诊断因素
- similarity of symptoms to those of others at site of exposure
- cough
- dyspnea
- hoarseness or dysphonia
- headache
- dizziness
- tachypnea
- hypoxia
- facial burns
- upper airway edema
- stridor
- wheezing
- crackles
- loss of consciousness
- seizures
其他诊断因素
- tachycardia
- hypotension
- nausea
危险因素
- known inhalation exposure
诊断性检查
首要检查
- pulse oximetry
- arterial blood gas
- carboxyhemoglobin (CO-Hb) level
- chest x-ray
- ECG
- cardiac telemetry monitoring
- urine toxicology screen
- serum ethanol level
需考虑的检查
- pulmonary function tests (PFT)
- laryngoscopy and bronchoscopy
- serum lactate
新兴检查
- cyanide level
治疗流程
all patients
撰稿人
作者
Matthew R. Stutz, MD
Fellow
Section of Pulmonary and Critical Care Medicine
Department of Medicine
University of Chicago
Chicago
IL
利益声明
MRS declares that he has no competing interests.
Jason T. Poston, MD
Associate Professor
Section of Pulmonary and Critical Care Medicine
Department of Medicine
University of Chicago
Chicago
IL
利益声明
JTP declares that he has no competing interests.
鸣谢
Dr Matthew R. Stutz and Dr Jason T. Poston would like to gratefully acknowledge Dr Karen C. Dugan and Dr John P. Kress, previous contributors to this topic.
利益声明
KCD and JPK declared that they had no competing interests.
同行评议者
Leopoldo C. Cancio, MD
Critical Care Fellow
US Army Burn Center
US Army Institute of Surgical Research
Brooke Army Medical Center
Fort Sam Houston
TX
利益声明
LCC declares that he has no competing interests.
Rhys Thomas, MD
Honorary Consultant in Anesthesia and Intensive Care
Queen Victoria Hospital
East Grinstead
Honorary Consultant
Royal London Hospital
London
UK
利益声明
RT declares that he has no competing interests.
Brendan Madden, MD, MSc, FRCP, FRCPI
Professor of Cardiothoracic Medicine
St George's Hospital
London
UK
利益声明
BM declares that he has no competing interests.
鉴别诊断
- Asthma
- COPD
- Cardiogenic edema
更多 鉴别诊断指南
- Guideline for inhalation injury in burns patients. Adult guidelines
- Management of airway burns and inhalation injury. Paediatric guidelines
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