摘要
目的 :探讨快速补液对烧伤休克延迟复苏病人脏器损害的防治作用。方法 :37例TBSA >40 %的烧伤病人按复苏方法不同分为A(n =17)和B(n =2 0 ) 2组进行补液 ,观察休克期内 (烧伤后 48h)出入量及伤后当日 ,3,7,15和 30d心肌酶谱、肝肾功能的变化。结果 :(B组 )快速补液 2h内补进液体 (为第一个 2 4h公式计算量的 (38.8± 6 .1) % )显著超过 (A组 )传统补液方法 (为第一个 2 4h公式计算量的 (16 .5± 2 .1) % ) ,B组第 1个2 4h补液总量为公式计算量的 (131.4± 14.3) % ,尿量也显著增加。伤后心肌酶谱、肝肾功能各指标显著升高 ,两组比较 ,B组显著低于A组。结论
Objective:To investigate the effects of rapid fluid replacement on the organ damage of burn shock patients with delayed resuscitation.Methods:37 burn shock patients(male 32,female 5)with TBSA more than 40% were divided into 2 groups:traditional fluid replacement group (A group,n=17) and rapid fluid replacement group (B group,n=20).The amount of infused fluid and urine output were detected at shock stage(post burn 1～48hours),the myocardial enzymorgram and function test of liver and renal were detected at 1,3,7,15and 30 days post burn.Results:The amount of infused fluid (38.8%±6.1% of first 24 hours formula requirement amount)in first 2 hours of rapid fluid replacement group (B group) obviously more than that (16.5%±2.1% of first 24 hours formula requirement amount) of the traditional fluid replacement group (A group).The toltal amount of infused fluid in first 24 hours were 131.4%±14.3% of the formula requirement amount.The urine output of B group were markedly increased.The myocardial enzymogram and function test of liver and renal in all patients markedly increased after post burn,but the parameters in B group were obviously lower than in A group.Conclusions:In delayed resuscitation of burn shock patients,rapid fluid replacement can reduce organ injury.
出处
《中国现代医学杂志》
CAS
CSCD
2001年第5期8-10,共3页
China Journal of Modern Medicine
基金
军队"九五"攻关课题! (96L0 43)
关键词
烧伤
休克
延迟复苏
快速补液
脏器损害
防治
Burn
Shock
Delayed Resuscitation
Rapid Fluid Replacement
Organ Damage
