| 引用本文： |
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徐兵,葛奎,庄育刚,等.重症破伤风感染的救治[J].同济大学学报（医学版）,2010,31(5):56-58. [点击复制]
- XU Bing,GE Kui,ZHUANG Yu-gang,et al.Clinic study on the treatment of severe tetanic infection[J].同济大学学报（医学版）,2010,31(5):56-58. [点击复制]
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| 摘要: |
| 目的研究重症破伤风的救治经验,探索降低破伤风患者死亡率的有效方法。方法回顾分析2004—2010年收治的9例破伤风患者的临床特点及救治经过,总结破伤风救治的经验和教训。结果 2008年5月急诊ICU成立之前收治的4位患者,均未接受重症监护,3例死亡,死者均未行气管切开;2008年5月之后收治的5位患者,均接受重症监护和气管切开,1例死亡。结论伤后正规创面处理,常规预防注射（tetanus antitoxin,TAT）破伤风抗毒素TAT,及时转入ICU,采取积极的综合措施防治并发症（快速气管切开与有效镇静是关键）,是破伤风有效防治措施。 |
| 关键词: 破伤风 感染 治疗 |
| DOI：10. 3969/j.issn1008 —0392.2010.05.013 |
| 投稿时间：2010-05-12 |
| 基金项目:上海市自然科学基金资助项目（10411964800) |
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| Clinic study on the treatment of severe tetanic infection |
| XU Bing,GE Kui,ZHUANG Yu-gang,WU Jia-jun,WANG Jian-xiong,CUI Shi-tao |
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| Abstract: |
| Objective To summarize the therapeutic effects of tetanus.Methods The clinical features and therapeutic effects of nine cases of severe tetanus were analyzed retrospectively.Results Out of four patients who failed to be treated in EICU.Three patients died.In contrast,only one out of five patients treated in EICU was dead.Conclusion Early effective wound treatment;injection of TAT,being timely transferred to EICU and high dose of sedation may increase the survival of severe tetanus. |
| Key words: tetanus infection treatment |
