大面积烧伤延迟复苏效果探讨  

Study on the Effect of Delayed Resuscitation in Extensive Burn Patients

作　　者：张宏[1] 林国安[2] 

机构地区：[1]解放军第107医院烧伤科,山东烟台264002 [2]解放军第159医院烧伤科,河南驻马店463008

出　　处：《中国烧伤创疡杂志》2014年第3期187-189,共3页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的探讨大面积烧伤患者延迟复苏的方法及其疗效。方法采用中国人民解放军第107医院提出的烧伤休克期液体复苏方案(下称"107复苏方案")对25例延迟入院的大而积烧伤患者进行复苏治疗,观察治疗效果。结果 23例患者痊愈出院,2例患者分别于伤后第6天和第34天死于多器官功能衰竭。结论 107复苏方案能够预估累积丢失量和输液速度,可用于延迟入院治疗的烧伤休克期患者。Objective To explore the means and efficacy of delayed resuscitation in patients with extensive burns. Method The fluid resuscitation plan for shock stage of burns provided by the 107th Hospital of PLA （hereinafter referred to as 107 Resuscitation Plan） was adopted as the resuscitation treatment in 25 patients with extensive burns and at delayed admission, and the efficacy was observed. Result Twenty three patients were all healed and discharged, two patients died from multi-organ failure 6 days and 34 days after injury respectively. Conclusion The 107 Resuscitation Plan can help es-timate the accumulated loss of fluid and transfusion speed. It can be used in patients who were at shock stage and delayed to be hospitalized.

关 键 词：烧伤 休克 延迟复苏 107复苏方案 疗效 

分 类 号：R644[医药卫生—外科学]