烧伤休克期补液与监测相关问题的探讨

Discussion on the fluid resuscitation and monitoring during burn shock period

The index of monitoring bum shock resuscita- tion includes clinical signs and symptoms, laboratory examina- tions, hemodynamic variables. In recent years, there exists a tendency that the amount of transfused fluid for burn shock re- suscitation is notably increased and complications of some cases, such as abdominal compartment syndrome have been reported. One of the major reasons for excessive fluid resuscitation is to try to normalize hemodynamic parameters with the help of invasive hemodynamic monitoring. Instead of hemodynamic variables, u- rinary output combined with other traditional variables still should be considered primary criteria of adequate fluid therapy. Specification of the variables of monitoring burn shock resuscita- tion is also the basis to revise and optimize the fluid resuscitation formula.