小儿烧伤液体复苏的研究进展  

Research advances on fluid resuscitation in pediatric burns

作　　者：郑洋洋 黄婷 刘之慧 刘军[1] Zheng Yangyang;Huang Ting;Liu Zhihui;Liu Jun(Department of Burn,Gansu Provincial People's Hospital,Lanzhou 730099,China;The First School of Clinical Medicine,Gansu University of Chinese Medicine,Lanzhou 730000,China;Department of Neurology,the Second Affiliated HospitalofChongqing Medical University,Chongqing 400010,China)

机构地区：[1]甘肃省人民医院烧伤科,兰州730099 [2]甘肃中医药大学第一临床医学院,兰州730000 [3]重庆医科大学附属第二医院神经内科,重庆400010

出　　处：《中华烧伤与创面修复杂志》2024年第8期791-795,共5页Chinese Journal of Burns And Wounds

摘　　要：烧伤后的液体复苏对患儿的生存与预后至关重要,尽管小儿液体复苏原则与成人相似,但须充分考虑小儿独特的生理需求,防止液体复苏不足或过度。在临床实践中,因各项监测技术的普及,液体复苏不足可以被及时观察到,但液体复苏过度往往被忽视。而液体复苏过度可导致液体外渗,增加小儿烧伤并发症发生的概率及不良预后等。该综述围绕烧伤小儿独特的病理生理特征及如何避免液体复苏过度而展开,以期为其合理补液提供参考。Fluid resuscitation after burns is very crucial to the survival and prognosis of children.Although the principles of fluid resuscitation in children are similar to those in adults,the unique physiological needs of children must be fully considered to prevent insufficient or excessive fluid resuscitation.In clinical practice,due to the popularization of various monitoring techniques,insufficient fluid resuscitation can be observed in time,but excessive fluid resuscitation is often overlooked.Excessive fluid resuscitation can lead to fluid extravasation,increasing the probability of pediatric burn complications and poor prognosis.This review focuses on the unique pathophysiological characteristics of children with burns and how to avoid excessive fluid resuscitation in order to provide reference for rational fluid rehydration.

关 键 词：烧伤 儿童 生物敷料 补液疗法 允许性低血压 

分 类 号：R726.5[医药卫生—儿科]