摘要
本文测定43例不同烧伤面积病人的血渗和计算其渗差,特别对特重烧伤病人的血渗进行了连续观察。发现严重烧伤病人血渗升高;死亡病人生前血渗明显高于存活病人的血渗,而且高血渗和渗差增大往往同时存在。大面积烧伤病人测定血渗能准确地反映病情变化和判断预后,有利于导治疗。
48 patients with burns of various degree and TBSA were investigated to study the relationship between burn severity and changes of serum osmolality. The results showed that the osmolality in 4 dead patients was significantly higher than the osmolality of the survivors with very serious burns, whose osmolality decreased gradually to normal. Hyperosmolality and obvious osmolar discrepancy often exist simultaneously. It is suggested that the changes of osmolality and osmolar discrepancy can reflect the burn severity and the prognosis of the patients.
