烧伤病人血流变学动态改变与体液复苏的关系

目的 探讨烧伤病人血流变学的变化特点及其与体液复苏的关系以及严重烧伤后贫血的防治措施。方法 将２３８例烧伤住院患者按轻重程度及体液复苏方案不同，分为四组观测。结果 烧伤后２４￣４８ｈ内及时补充新鲜血并结合中药治疗，可明显改善血流变学的异常指标，对有效减少烧伤后输血量是十分有益的。结论 血液流变学的动态观测是监测烧伤休克和指导体液复苏的最佳指标之一，严重烧伤后早期补充新鲜血并给予中药治疗是改善血流变

A study of the relationship between dynamic blood rheologic changes and the fluid resuscitation in burn patients]

OBJECTIVE: To further study the relationship between hemor rheologic changes and fluid resuscitation in patients with burn and treatment of anemia after burns. METHODS: 238 case of burn patients were divided into four groups. In which patients with major burn were allocated to group C and D according to different methods of fluid resuscitation and treatment of anemia. RESULTS: Abnormal hemorrheologic parameters could be corrected when transfusion of fresh whole blood and traditional herb medicines were given within 24-48 hours after burn injury. CONCLUSION: Dynamic observation of hemorrheologic changes is one of important index in monitoring burn shock and guiding fluid resuscitation. Blood transfusion and traditional medicine can improve abnormal blood rheologic parameters, effectively correct anemia when given early.