72例成人破伤风临床分析

目的:对72例成人破伤风的临床表现及治疗进行总结,提高成人破伤风的治愈率,降低病死率。方法:回顾性分析72例成人破伤风患者的临床资料,比较他们的临床类型,潜伏期。结果:潜伏期愈短,病型愈重,病死率愈高。安定、氯丙嗪及鲁米那交替使用,可有效控制痉挛期的发作。结论:对破伤风的治疗,除常规治疗外,重型病例应尽早气管切开,保持呼吸道通畅,是抢救成功的关键。

The Clinical Analysis of 72 Patients with Tetanus

Objective: To summarize and analyse the clinical manifestation and therapeutic measure of 72 adult patients with tetanus and to elevate the healing rate and reduce the case fatality.Method:To retrospectively analyse the clinical data of 72 patients with tetanus and to compare the clinical type and latent period.Result:The shorter latent period the clinical type was and severer clinical type the patients` condition was,the higher case fatality the patients was.to use the Diazepam,Chlorpromazine and Phenobarbital alternately could effectively control spasm.Conclusion :The incision of trachea can be underwent in the severe patients in order to maintain the unobstructed respiratory tract under conventional therapy,it is the keypoint of successful salvage.