中国烧伤液体复苏公式改良应用

A new Usage of Chinese Burn Resuscitation Formula

目的探讨严重烧伤休克期液体复苏的方法。方法 63例大面积烧伤矫正使用中国烧伤复苏公式指导治疗。葡萄糖溶液以100ml/h匀速补给;电解质和胶体的补给速度先快后慢,前12h根据患者的临床治疗反应每小时进行调整,后12h匀速补给。结果复苏第1小时电解质和胶体补液量占全天总量的12.0%,第2小时占9.89%,第3小时为9.02%;前3h补液总量占全天总量的30.91%。至伤后第6小时占其总量的41.97%,第8小时占54.90%,12h为70.02%;后12h仅占29.98%。全部病例均平稳度过休克期。结论输液速度和方式对成功休克复苏具有重要意义,片面追求增加补液量可能是个误区。

Objective To observe the method of liquid treatment on extensive burn patients during shock stage. Methods 63 cases of extensive burn patients were treated with the corrective scheme that come from Chinese Resuscitation Formula. The glucose solution was evenly infused at 100 ml/h. The electrolyte and the colloid solution was quickly infused at first, and adjusted per hour according to the patient＇ s clinical re- sponse. The velocity of infusion decrease gradually in the first 12 hours, and 12 hours after it was uniform. ]Re- sults The amount of the electrolyte and the colloid solution given in first hour accounted for 11.99% of their lot, in 2nd hour for 9.89% and in 3rd hour for 9. 02%, and the total volume in the previous ＂3 hours for 30. 91%. To 6th hour after injury, the amount of infusion accounted for 41.97%, to 8th hours for 54. 90% and to 12th hours for 70. 02%, and 12 hours after only for 29. 98%. All patients were steady to spend shock to ex- pect. Conclusion The velocity of infusion and the mode of rehydration should be significance to shock recover- y, and the unilateral raise of the volume may be a mistake zone.