严重烧伤回吸收期液体治疗的探讨

烧伤回吸收期的补液如何进行,尚未有一个为广大临床工程师所接受的方案.为此,本文作者对本院救治的103例严重烧伤病人进行了回顾性研究,认为对严重烧伤病人在此阶段的补液.除生理需要量外,至少应保持在53ml/1%BSA/d,方能补充其失水量.从而提出本作者的观点,以探讨此阶段的补液问题.

Investigation in Fluid Therapy of Burn Injury at Infection Stage

There still has not been a common plan which can be accepted by most surgeons about how to make the fluid therapy in the infection stage of severe burn injury as yet So in this article, the authors took an investigation on the above problem, based on the research of the case history of severe burned patients in our hospital. We studied 103 cases of severe burned patients from 1981 to 1995, and found that patients at this stage must be supplied at least 53ml per 1% burned surface area daily (ml /1% BSA/d) besides the body's physiologial need, so as to compensate lost water. When concerning the child patients, we found that the fluid should be supplied at least 0.38ml /kg/1%BSA besides the physiological need.In this article, the authors also suggest that the composition of the above fluid supplied should rely on glucose solution mainly. And when determing on capacity of liquid what we are chiefly concerned about is consistency of Na in plasma.