重度烧伤休克期过度补液的临床探析

Clinical Observation of Excessive Fluid in Shock Stage in Patients with Severe Burns

目的:探讨重度烧伤休克期过度补液的临床分析。方法:对2011年4月-2013年4月本院收治的78例重度烧伤患者根据补液公式计算补液量,实施补液治疗,观察过度补液对患者产生的影响。结果:78例重度烧伤患者出现心肺功能异常者11例(14.10%),出现血压升高者4例(5.13%),出现腹腔间隙综合征者3例(3.85%),出现凝血功能障碍者2例(2.56%),其余患者58例(74.36%)各项指标均恢复正常后平稳度过休克期。结论:根据患者烧伤情况严格控制休克期补液量,避免出现过度补液,有助于患者顺利、安全、平稳度过休克期。

Objective： To study the clinical effect of excessive fluid in shock stage with severe burns.Method： Seventy-eight patients with severe burn from April 2011 to April 2013 in our hospital were selected, according to the expression of rehydration fluids, rehydration therapy were implementation, the impact of excessive fluid for patients were observed.Result： There were 11 cases （ 14.10% ） appearance cardiopulmonary anomaly, 4 cases （ 5.13% ） appearance a rise in blood pressure, 3 cases （ 3.85% ） appearance ACS, 2 eases （ 2.56% ） appearance coagulation disorder, other patients were through the shock stage smoothly after all the index recovered normal.Conclusion： According to the situation during shock stage of patients, strict control rehydration fluids, avoid excessive rehydration happened, it will has a safety and smoothly stage for patients.