| 再论烧伤后"休克心"及其临床意义 |
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| 引用本文： | 黄跃生. 再论烧伤后"休克心"及其临床意义[J]. 中华烧伤杂志, 2003, 25(1): 161-163. DOI: 10.3760/cma.j.issn.1009-2587.2009.03.001 |
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| 作者姓名： | 黄跃生 |
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| 作者单位： | 第三军医大学西南医院全军烧伤研究所,创伤、烧伤与复合伤国家重点实验室,重庆,400038; |
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| 摘 要： | 烧伤后早期缺血缺氧损害难以避免,是引起严重烧伤并发症和死亡的最重要原因.早在20世纪60年代,人们已发现严重烧伤休克期心功能减退的现象.
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| 关 键 词： | 烧伤 休克心 缺血缺氧 防治 |
Further discussion on postburn "shock heart " and its clini-cal significance |
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| HUANG Yue-sheng. Further discussion on postburn "shock heart " and its clini-cal significance[J]. Chinese journal of burns, 2003, 25(1): 161-163. DOI: 10.3760/cma.j.issn.1009-2587.2009.03.001 |
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| Authors: | HUANG Yue-sheng |
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| Abstract: | A series of studies demonstrated that myocar-dial damage and cardiac dysfunction occur immediately after se-vere burn even before the intervention of significant reduction in blood volume as a result of increased capillary permeability. Be-cause the heart is the power organ of the circulation, such myo-cardial damage and cardiac dysfunction lead not only to cardiac deficiency, it is also a precipitating factor of burn shock and is-chemic/hypoxic injury. Therefore, we nominate this phenome-non as " shock heart". New measures including " volume re-placement" plus " dynamic support" proposed according to this new recognition is of important clinical significance for burn shock resuscitation and prevention and treatment of ischemic/hy-poxic injury, as well as reducing organ complications resulting from insufficient or excessive fluid resuscitation during early postburn stage. |
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| Keywords: | BurnsShock heartHypoxia-ischemiaPrevention and treatment |
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