严重烧伤延迟复苏的早期综合液体复苏  

A clinical study on severely burned patients with delayed fluid resuscitation during early stage

作　　者：刘敏[1] 吴祖煌[1] 

机构地区：[1]解放军第95医院烧伤整形科,福建莆田351100

出　　处：《东南国防医药》2004年第2期84-87,共4页Military Medical Journal of Southeast China

基　　金：全军"十五"指令性课题 (0 1L 0 5 5 )

摘　　要：目的　旨在进一步提高严重烧伤延迟复苏液体复苏的早期综合液体复苏措施。方法　将 72例延迟复苏的严重烧伤患者分成两个阶段 ,即 1990年 1月至 1994年 12月 (第一阶段 )和 1995年 1月至 2 0 0 1年 12月 (第二阶段 )进行比较分析。第二阶段采用包括综合液体复苏在内的一系列措施与方法。结果　第二阶段收缩压、脉压差、血 Pa O2 、碱缺失 (BD)明显升高 ,尿量明显增加 ,而血清乳酸却较第一阶段低 (P<0 .0 1～ 0 .0 5 )。结论　早期、快速、有效的液体复苏 ,早期切 (削 )痂、早期胃肠道喂养。Objective To study the effect of fluid resuscitation on severely burned patients with delayed fluid resuscitation.Methods From January 1990 to December 2001, 72 cases of delayed fluid resuscitation were admitted to our department ,two periods were divided and analyzed retrospectively.Results The time during shock stage and levels of blood lactic acid (BLA) in the second period were very significantly lower than that of the first period.Blood pressure, PaO 2,base deficit(BD) and urine output were increased in the second period (P<0.01～0.05). Conclusions Our dats demonstrate that the measures taken in the second period for patients with delayed fluid resuscitation,including early rapid adequate and compound resuscitation,early excision,early enteral feeding,xenotransfusion of ultraviolet-irradiated blood(XUIB ),play an important role on delayed fluid resuscitation.

关 键 词：严重烧伤 延迟复苏 早期 综合液体复苏 胃肠道喂养 紫外线照射充氧 

分 类 号：R644[医药卫生—外科学]