重度烧伤休克期过度补液的临床探析  

Clinical Analysis of Excessive Fluid Replacement in Severe Burn Shock Stage

作　　者：土登次成[1] TU Deng Ci Cheng(General Hospital of Tibet military command, Lhasa Tibe)

机构地区：[1]西藏军区总医院

出　　处：《世界最新医学信息文摘》2017年第27期38-39,共2页World Latest Medicine Information Electronic Version

摘　　要：目的探讨重度烧伤休克期过度补液的临床分析。方法对2014年9月至2016年9月本院收治的80例重度烧伤患者,根据补液公式计算出患者所需的补液量之后,对其实施补液治疗,观察过度补液对患者产生的影响。结果 80例患者中出现血压升高症状的患者有5例(6.25%),出现凝血功能障碍症状的患者有3例(3.75%),血压出现升高状态的有6例(7.50%),心肺功能出现异常的有13例(16.25%),出现腹腔间隙综合征情况的有2例(2.50%),其余51例(63.75%)患者均在各项指标均恢复正常后平安度过休克期。结论医护人员在进行补液时,需根据患者烧伤情况用补液公式计算补液量并实时监控每个患者在苏醒之前的补液情况,避免出现过度补液的情况,帮助患者顺利且平安地度过烧伤休克期。Objective To investigate the effect of fluid replacement in severe burn shock stage. Methods From September 2014 to September 2016, 80 patients with severe bum were treated in our hospital, according to the formula to caleulate the mount of fluid needed for patients after the implementation of rehydration therapy, to observe the effect of excessive fluid replacement on patients. Results 80 patients with elevated blood pressure symptoms in patients with a total of 5 eases （6.25%）, there were 3 patients with coagulation dysfunction （3.75%）, there were 6 cases of elevated blood pressure （7.50%）, there were 13 eases eardiopulmonary dysfimction occurred（16.25%）, there were 2 cases of abdominal compartment syndrome （2.50%）, the rest of the 51 cases （63.75%） in all the indicators were recovered to normal after the shock period of peace. Conclusion In the process of fluid replacement, the medical staff need to ealeulate the amount of fluid infusion according to the formula of burn patients and monitor each patient＇s fluid replacement before awakening, avoid excessive fluid replacement, help patients smoothly and safely through the shock stage of burn.

关 键 词：重度烧伤 休克期 过度补液 

分 类 号：R644[医药卫生—外科学]