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Inhalation injury

最后审阅: 13 Feb 2025
最后更新: 07 Jun 2022

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
完整详情

其他诊断因素

  • tachycardia
  • hypotension
  • nausea
完整详情

危险因素

  • known inhalation exposure
完整详情

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
完整详情

需考虑的检查

  • pulmonary function tests (PFT)
  • laryngoscopy and bronchoscopy
  • serum lactate
完整详情

新兴检查

  • cyanide level

治疗流程

急症处理

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.

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