严重烧伤休克期的补液治疗

补液是烧伤休克的主要治疗措施。体质量和烧伤面积是决定补液量的主要因素,但同时应考虑致伤原因、地点等其他影响因素。现行的补液公式源于50%总体表面积烧伤犬的实验,补液的安全值范围小,易产生并发症,故应个体化补液,并持续监测尿量、体温、心率、血压等。本文对近年来国内外对严重烧伤休克期补液治疗的进展进行综述。

The Progress of Severe Burn Patients during Shock Stage with Fluid Supplement Therapy

Rehydration is the main treatment of burn shock measures. Body mass and size is to determine the w）lume of the main factors fluid infusion,but the cause of injury,location should be considered. The current fluid replacement formula origiated from canine experiment which 50% total body surface area to suffer burns. According to small range of safety value and complication easily produced, individual administration should he performed, urine volume, body temperature, heart rate and blood pressure should be continuously monitored. This article reviewed ＇about severe burns patients during shock stage fluid infusion therapy in recent years,and make some comments for the early treatment of severe burns patients.