39例重度烧伤休克期过度补液的临床分析

目的探讨重度烧伤患者休克期过度补液的正负临床效应。方法选择2008年1月-2011年8月我科收治的烧伤总面积≥70％Ⅱ度、Ⅲ度≥50％TBSA的患者39例行液体复苏，总结患者伤后24、48、72h的补液量对患者的影响，同时观察记录这一时间段患者各项临床指征的变化。结果28例重度烧伤患者平稳度过休克期，6例患者出现心肺功能衰竭，同时高血压患者2例，凝血功能障碍（VK1↓）1例，腹腔间隙综合征2例。结论把控好重度烧伤患者休克期补液，杜绝过度补液，为保证烧伤休克期顺利、安全、有效的补液提供借鉴。

Clinical Observation of Excessive Fluid in Shock Stage in Patients with Severe Burns

Objective To investigate patients with severe burn shock stage clinical positive and negative effects of excessive rehydration. Methods From January 2008 to August 2011 burns admitted to our department,a total area of≥70%Ⅱ degree, Ⅲ degree≥50% TBSA of 39 patients with routine fluid resuscitation, patients retrospectively after injury, 48 and 72 hours of rehydration volume impact on the patient, while observing the patient recorded the time of the clinical indications of change. Results 28 patients with severe burn patients with stable through the shock stage,6 patients had heart and lung failure,while patients with two cases of high blood pressure, coagulation dysfunction（VK1 ↓）1 case,abdominal compartment syndrome in 2 cases. Conclusion Good control in patients with severe burn shock fluid, to prevent excessive rehydration, burn shock period to ensure smooth, safe and effective rehydration for reference.