影响烧伤休克发生因素的调查分析

目的分析影响烧伤休克的因素，为烧伤休克的诊治提供依据。方法回顾性分析5824例烧伤患者的临床资料，了解烧伤面积、年龄、入院时间、并发症与休克发生率的关系。结果烧伤面积越大，休克发生率越高；儿童与老年患者休克发生率显著高于其他年龄段患者；4～12h内入院患者休克发生率高于其他入院时间患者；并发消化道出血，‘肾、肺、心功能衰竭者休克发生率更高。结论烧伤面积、年龄、入院时间和并发症等与烧伤休克关系密切，对烧伤患者应及时进行液体复苏，加强对儿童与老年患者的抗休克治疗。

Analysis on correlation factors affecting the incidence of burn shock

Objective To analyze the correlation factors affecting burn shock incidence to provide guidance for its clinical treatment.Methods Retrospective analysis of 5 824 cases of burn shock,including analyzing the relationship between shock incidence and burn area,age,interval between injury and hospitalization,and complications.Results There was positive relationship between burn area and shock incidence;children and the elderly burn patient shock were significantly higher than other age groups of patients;the shock incidence of the patients hospitalized later than 4 to 12 hours after burn shock was higher than those hospitalized earlier;the incidence of sepsis,alimentary tract hemorrhage,acute renal failure,pulmonary failure,and cardiac failure in patients with shock was higher than those without shock.Conclusion Burn area,patients age,hospitalization time and other factors are closely related with the incidence of burn shock,and early fluid resuscitation should be applied,especially for children and aged people.