西北地区特重烧伤后高钠血症与多器官功能衰竭  

Extensive Postburn hypernatremia and multiple organ Failure in northwestern region

作　　者：薛晓东[1] 李国萍[1] 于晟[1] 张世范[2] 胡振萍[2] 

机构地区：[1]兰州军区总医院烧伤整形科 [2]兰州军区总医院胸心外科

出　　处：《兰州医学院学报》1997年第2期52-53,共2页Journal of Lanzhou Medical College

摘　　要：目的：研究了西北高海拔干燥地区特重烧伤电解质代谢与多器官衰竭的发生原因及相互关系；方法：利用Evans公式指导休克期复苏补液，观测血清电解质及脑、肺、心等器官功能；结果：7例特大面积烧伤病人发生难治性高钠血症，导致多器官衰竭而死亡。结论：认为高钠血症的原因是由于Evans公式指导补液的缺陷所致，多器官衰竭与高钠血症有直接关系。to investigate the cause and mutuality of extensive petburn electrolytes metabolism and multiple organ failure in high altitude and dry northwestern region; Method: to direct resuscitating infusion with Evans formula and observe serum electrolytes and function of brain, lung, heart; Result: 7 cases of extemively burned patients had inculable hypernatemia, led to multiple organ failure and died; Conclusion: We think that the deficit of directing resuscitating infraing with Evans formula contribute to the hypernatremia and multiple organ failure is directly related to hypernatremia.

关 键 词：烧伤 Evans公式 高钠血症 多器官衰竭 

分 类 号：R644.06[医药卫生—外科学] R59[医药卫生—临床医学]