烧伤休克发生的相关因素分析

目的：分析影响烧伤休克发生的相关因素,为烧伤休克的临床治疗提供参考。方法：对我院1981年至2008年收治的11324例烧伤患者的临床资料进行回顾性统计,大致以每10年为一个时间段,计算各时间的休克发生率;分析休克发生率与患者年龄、烧伤面积、伤后入院时间以及并发症发生率之间的关系。结果：1981年至1990年、1991年至2000年和2000年至2008年的休克发生率分别为13.5%、9.38%和7.88%。7岁以下烧伤患儿及60岁以上老年烧伤患者休克发生率高于其他年龄段患者;烧伤面积越大,休克发生率越高;〉伤后4 h至≤12 h入院的患者休克发生率高于其他时间段入院者（P〈0.01）。烧伤休克患者脓毒症、消化道出血、急性肾功能衰竭、肺功能衰竭、心功能衰竭等并发症发生率高明显高于未发生休克的患者（P〈0.01）。结论：应加强对小儿及老年烧伤患者休克的防治。伤后积极进行液体复苏,对防止休克、预防内脏并发症、提高治愈率有重要意义。

Analysis of Correlation Factors of Burn Shock

Objective: To analyze the correlation factors in the incidence of burn shock , so as to provide guidance for the clinical treatment of shock after bums. Method: Retrospective analysis of clinical data of 11324 patients hospitalized in our department from 1981 to 2008 were undertaken. Result: The incidence of shock during 1981 to 1990,1991 to 2000 and 2000 to 2008 periods was 13.50% ,9.38% and 7.88% . The occurrence of shock was closely related to age , length of time between injury and hospitalization , and bum area. The shock incidence of children under 7 years old or elderly more than 60 years old was obviously higher than other age groups , and there was positive relationship between bum area and shock incidence .Moreover ,the shock incidence of the patients hospitalized later than 4 to 12 hours after bum shock was also markedly higher than those hospitalized earlier (P <0.01 ). In addition ,the incidence of sepsis , alimentary tract hemorrhage ,acute renal failure , pulmonary failure ,and cardiac failure in patients with shock was obviously higher than those without shock (P<0.01). Conclusion: For the children and aged people , special attention should be paid in the prevention and resuscitation of bum shock. Early fluid resuscitation is vital for the prevention of organ complication ,and it is beneficial to promote wound healing.