烧伤休克液体复苏研究进展  

Advances in the Research of Fluid Resuscitation for Burn Shock

作　　者：曹亚南[1] 朱冬燕[2] 魏雅娟[1] Cao Yanan;Zhu Dongyan;Wei Yajuan(Outpatient Department,Internal Medicine Department,The Third Hospital of Bei-jing Armed Police Corps,Beijing 100040,China)

机构地区：[1]武警北京总队第三医院门诊部,北京100040 [2]武警北京总队第三医院内科,北京100040

出　　处：《中国烧伤创疡杂志》2018年第5期342-345,共4页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：液体复苏是治疗烧伤休克的重要手段,能否科学有效地补液,使患者平稳度过休克期,可直接影响患者的救治成功率。目前,虽然液体复苏方案已较成熟,个性化补液方案的实施、血流动力学及腹腔压力监测的应用明显提高了患者的治愈率,但由于烧伤休克的发病机制较为复杂,致使严重烧伤休克患者的治疗难度仍较大。因此,笔者于本研究中将国内外烧伤休克液体复苏补液公式、复苏溶液类型、补液方式及指标监测等相关研究进展进行了综述,旨在为探寻更有效的烧伤休克液体复苏模式、提高烧伤休克的防治效果提供思路与帮助。Fluid resuscitation is an important method for the treatment of burn shock. Whether scientific and effective fluid resuscitation was provided to help patients pass the shock period stably has a direct bearing on the success rate of rescue. At present,the protocols of liquid resuscitation have already been matured,and the application of personalized fluid supplementation,hemodynamics and abdominal pressure monitoring have significantly improved the cure rate of burned patients,but given the complicated pathogenesis of burn shock,it still remains a great difficulty in treating patients with severe burn shock. Therefore,this study made a review on the advances in the research of fluid resuscitation formulas,resuscitation solution types,fluid supplementation methods and indexes monitoring in the treatment of burn shock both at home and abroad,aiming at exploring a more effective fluid resuscitation mode for better prevention and treatment of burn shock.

关 键 词：烧伤 休克 液体复苏 补液公式 复苏溶液 综述 

分 类 号：R644[医药卫生—外科学]