大面积烧伤早期液体复苏疗法探讨(附63例报告)

A new way of resuscitation used in treatment of extra severe burn

目的探索指导大面积烧伤后液体复苏治疗方法的新思路。方法对1998年以来收治的63例烧伤面积≥35%总体面积(TBSA)的患者,采用烧伤后第一个24小时内不补充葡萄糖溶液,仅应用130mmol/L乳酸林格氏液,作为水和电介质的补充液体,结合胶体溶液输入治疗进行复苏。结果63例大面积烧伤患者,成功救治62例,死亡1例。结论烧伤后第一个24小时,不补充每日基础水分,而仅应用130mmol/L乳酸林格氏液补充水和电解质,结合胶体溶液进行复苏治疗,在临床上是可行的。

Objective To study a new way of resuscitation in the treatment of extra severe burn. Methods Sixty-three cases were treated in our hospital. In first 24 hours, all cases were resuscitated by using sodium lactate equilibrium liquid and colloid, and no basic water was given. Results Sixty-three cases were cured successfully, and one case died of complication in lungs. Conclusion On early stage of burn, sodium lactate equilibrium liquid could be used to supply the requirement of electrolyte and basic water. This new way of resuscitation is practicable.