热带地区小儿烧伤休克复苏特点的研究  

Study of resuscitative characteristics of infantile burn shock in tropical area

作　　者：沈光裕[1] 陈琦[1] 周金武[1] 段红杰[1] 陈建设[1] 李泰昌[1] 

机构地区：[1]解放军第187中心医院烧伤整形科,海口571159

出　　处：《中华损伤与修复杂志（电子版）》2007年第3期142-143,共2页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

摘　　要：目的研究热带地区应用乳酸钠林格氏液与血浆对婴幼儿烧伤休克进行个体化液体复苏的特点。方法1985年以来,我科收治6160例各种原因小儿烧烫伤,其中2583例入院时需要液体复苏,年龄<36个月,烧伤面积10%～85%的重度烧伤合并烧伤休克的患儿接受了复苏治疗,根据患儿体重分类和烧伤面积计算24 h液体需要量,我院地处海南,热带潮湿的特点使应用烧伤治疗机(额外丢失量)需增加200～300 ml水分,输液泵均匀控制输液速度并根据每小时尿量调整。结果2583例烧伤休克患儿在伤后24 h内全部复苏成功,未出现心肺脑肾等重要脏器并发症和电解质紊乱,实际输液量与按体重计算量无差异(P>0.5)。结论婴幼儿烧伤液体复苏应用乳酸钠林格氏液与血浆抗休克并按患儿不同体重段和烧伤面积估计输液总量是比较合理,有效和精确的。Objective To study characteristics of liquid resuscitating individually using sodium lactate Ringer＇ s solution and plasma in infantile burn shock in tropical area. Methods Among 6160 cases of infantile burn（scald） induced by various causes since 1985, 2583 cases were needed liquid resuscitating. Infantile burn patients who were 〈36 months and with severe burn of TBSA 10% -85% （combined burn shock） received resuscitative treatment. Liquid requirement of 24 hours was according to classification of body weight and burn area. Due to moist climate in tropical area in Hainan, application of burn therapeutic equipments lost extra moisture to 200 -300 ml, supplement of equal liquid wasneeded. By infusion pump, infusion speed can be controlled evenly and adjusted on the basis of urine volume in 24 hours. Results 2583 infantile patients with burn shock were resuscitated successfully in 24 hours of the attack. They had no complication of important organs （such as heart, lung, brain and kidney） and electrolyte disturbance. Discrepancy of actual infusion volume and count volume according to body weight had no statistical significance （P 〉 0.5）. Conclusion For infantile burn shock, it is rational, effective and accurate to use liquid resuscitation by sodium lactate Ringer＇ s solution and plasma as well as estimating total volume of infusion on the basis of different body weight and burn area.

关 键 词：热带地区 小儿烧伤 休克复苏 治疗 特点 

分 类 号：R726.5[医药卫生—儿科]