文摘
本研究进行评估的长期呼吸道健康后果烟雾吸入患者烧伤幸存者。患者吸入烟雾造成国内火焰或火灾进行了研究。病历是病人的选择的主要来源。被诊断为烟雾吸入呼吸道的视觉外观的基础上对支气管镜检查的报告。患者参与的研究比较重要的特征与那些没有参与。然后参与者评估问卷,体格检查,胸片和肺功能测试。二十45患者幸存下来的烟雾吸入参加了实验。参与者和未参加者可比对性别、年龄、受伤以来,受伤的病因学,总体表烧伤。参与者有更多的面部烧伤,更严重的支气管镜的结果所需的烟雾吸入和插管更频繁。呼吸道症状和肺功能测试进行评估45 + / - 23个月后烟雾吸入。 Four patients reported an increase in dyspnoea, one an increase in cough and one an increase in phlegm. All the patients had pulmonary function tests and bronchial responsiveness (provocative concentration of histamine resulting in a 20% fall in forced expiratory volume in one second (PC20) > 16 mg.mL-1) within normal limits. The four patients complaining of increased dyspnoea had results within normal limits for cardiac and respiratory variables on maximal exertion. The present study indicates that, in burn patients, smoke inhalation resulting from a single domestic fire does not necessarily imply long-term respiratory health consequences.