Successful rescue of one severe burn patient accompanied by asphyxia, sudden cardiac arrest, and acute respiratory distress syndrome
10.3760/cma.j.cn501120-20190811-00344
- VernacularTitle:成功救治危重烧伤并发窒息和心搏骤停及急性呼吸窘迫综合征患者一例
- Author:
Xiaoliang LI
1
;
Hongtao XIAO
;
Jian ZHANG
;
Yanguang LI
;
Xiangyang YE
;
Xiaokai ZHAO
;
Lei WANG
;
Ke FENG
;
Shemin TIAN
;
Jihe LOU
;
Chengde XIA
;
Yancang LI
Author Information
1. 郑州市第一人民医院烧伤科 450004
- Keywords:
Burns;
Asphyxia;
Cardiopulmonary resuscitation;
Respiratory distress syndrome
- From:
Chinese Journal of Burns
2020;36(8):743-745
- CountryChina
- Language:Chinese
-
Abstract:
On March 14, 2017, a thirty years old male severe burn patient accompanied by asphyxia, sudden cardiac arrest, and acute respiratory distress syndrome was admitted to Zhengzhou First People′s Hospital. During the shock stage, the pulse contour cardiac output was monitored for the restrictive rehydration, tracheotomy was performed, and fibrobronchoscope lavage was performed for the treatment of inhalation injury and pulmonary infection. An alternate application of suspended bed and turning bed was conducted to balance the treatment of cerebral edema and pulmonary infection; targeted antibiotics were used for anti-infective treatment; multiple operations were performed for eschar excision and skin grafting. At last, the wounds were all healed, the lung infection was cured, and the patient was discharged with severe disturbance of consciousness. Asphyxia and acute respiratory distress syndrome post-cardiopulmonary resuscitation are serious complications in severe burn patients. The clinical treatment of such patients is very difficult and should be highly alerted.
