糖皮质激素在小儿烧伤休克早期的临床研究  

Effect of glucocorticoid during early shock-term of burned child patients

作　　者：周玉新 [1] 张元利 [1] 张林 [1] 陈明星 [1] 王伟勇 [1] 庞书琴 [1] 郇京宁 [2] 

机构地区：[1]新疆伊宁解放军第11医院,新疆,伊宁,835000 [2]上海第二军医大学长海医院全军烧伤中心

出　　处：《西北国防医学杂志》2004年第1期40-41,共2页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的 :观察糖皮质激素在小儿烧伤早期防治休克的意义。方法 :治疗 60例小儿烧伤患儿 ,常规抗休克 ,3 8例于伤后 6～12h应用氢化考的松 ,观察患儿的神志、生命体征及并发症。结果 :应用激素患儿病情稳定 ,神志好转 ,未发生休克和并发症 ;未用激素患儿休克度过不平稳 ,并发症较多。结论 :激素在小儿烧伤早期应用有利于烧伤休克防治 ,能减少并发症 ,应早期、适量、短疗程应用。Objective:To investigate the significance of early us e of glucocorticoid to prevent shock in burned child patients.Methods: 60 cases of burned child patients were invo lved in normal anti-shock treatment.Glucocorticoid was used in 38 of them within 6-12 hours postburn .Their mind,symptom of life and complication were observ ed.Results: The patients treated with glucocorticoid were stable and develop no shock and c omplications ,their mind became well;However, those treated with no glucocorticoid pass through shock-t erm unstably and had relatively many complications. Conclusion:Early use of glucocortic oid can prevent shock and abate complications in child burns. Its principle is that small dose of glucocorticoid should be used early in short term.

关 键 词：烧伤 糖皮质激素 休克 

分 类 号：R726.5[医药卫生—儿科]