摘要
目的探讨烧伤病人血流变学的变化特点及其与体液复苏的关系以及严重烧伤后贫血的防治措施。方法将238例烧伤住院患者按轻重程度及体液复苏方案不同,分为四组观测。结果烧伤后24～48h 内及时补充新鲜血并结合中药治疗,可明显改善血流变学的异常指标,对有效减少烧伤后输血量是十分有益的。结论血液流变学的动态观测是监测烧伤休克和指导体液复苏的最佳指标之一,严重烧伤后早期补充新鲜血并给予中药治疗是改善血流变学的异常指标,防治贫血的有效措施。
Objective To further study the relationship between hemor theologic changes and fluid resuscitation in patients with burn and treatment of anemia after burns.Methods 238 case of burn pa- tients were divided into four groups.In which patients with major burn were allocated to group C and D according to different methods of fluid resuscuitation and treatment of anemia.Results Abnormal hemor- theologic parameters could be corrected when transfuasion of fresh whole blood and traditional herb medicines were given within 24～48 hours after burn injury.Conclusion Dynamic observation of hemor- rheologic changes is one of important index in monitoring burn shock and guiding fluid resuscitation.Blood transfusion and traditional medicine can improve abnormal blood rheologic parametars,effectively correct anemia when given early.
关键词
烧伤
血液流变学
液体复苏
Burn
Hemorrheology
Fluid resuscitation
