烧伤液体复苏及其监测研究进展  

Advances in the research of fluid resuscitation and its moni- toring in burn patients

作　　者：余水秀[1] 王仙园[1] 张家平[2] 周娟[1] 

机构地区：[1]第三军医大学护理学院野战护理学教研室,重庆400038 [2]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

出　　处：《中华烧伤杂志》2013年第6期554-557,共4页Chinese Journal of Burns

基　　金：国家自然科学基金面上项目（81171810）;军队“十二五”重点项目（BWS11J039）

摘　　要：休克是烧伤早期常见的并发症之一。临床研究显示，患者烧伤总面积超过15％TBSA就有发生休克的危险[1]。早期及时有效地补液复苏，对预防烧伤后早期感染、全身炎症反应综合征和MODS等至关重要，本文就目前国内外烧伤液体复苏和复苏监测的现状、存在问题与可能发展方向进行综述。Shock is the one of the most serious compli- cations during the early stage of burn injury. Early effective fluid resuscitation, enabling the burn patient to pass through the shock stage smoothly and uneventfully, plays a necessary and essential role in the prevention of the subsequent organ compli- cations, reduction of mortality and morbidity, and improvement in life quality. Rapid restoration of blood volume is the funda- mental measure to prevent burn shock. In this review, the histo- ry and the current status of several important issues related to burn shuck resuscitation, including the fluid replacement formu- la, quality of fluids, and monitoring of physiological parameters, were overviewed. The authors also proposed that a new therapeu- tic strategy to prevent mierovascular permeability should be em- phasized and developed in future, which may hopefully act as the most basic approach to prevent burn shock and its related complications.

关 键 词：烧伤 休克 补液复苏 复苏监测 

分 类 号：R473.6[医药卫生—护理学]