大面积烧伤后高血压的分析

Hypertension After Large Area Burns

目的 探讨大面积烧伤后高血压症发生原因。方法 回顾性调查我科自 1999年以来 73例烧伤面积大于 5 0 %的患者 ,其中高血压 2 2例 ,统计此组病人的补液情况及血清蛋白水平、血钠、血糖水平、全身感染情况。并与非高血压组对比。结果 两组补液差别无统计学意义 ,血清Na+ 、血糖、血清蛋白量比较差异均有统计学意义 ,高血压组 2 2例均有毒血症症状 ,对照组 2 2例中 12例出现过毒血症症状 ,高血压发病高峰与感染发病高峰一致。结论 烧伤后全身感染在烧伤后高血压症的发病过程中起着重要作用 ,在治疗时 ,降压对症治疗的同时 。

Objective To explore the cause of hypertension occurred after large area burns.Methods 73 cases of the large area burns(>50%),including 22 complicated with hypertension cases were retrospectively analyzed and statistics their fluid infusion volume,serum albumin levels serum sodium,blood sugar and general infections conditions were summarized,and compared with non-hypertension cases.Results The difference of fluid infusion volume between them was no significance in statistics.The difference of serum Na +,blood sugar,serum albumin levels between them was significant.All of 22 cases of hypertension had toxemia symptom,12 of 22 cases in control group occured toxemia symptom,morbidity peak of hypertension was accorded with infection morbidity peak.Conclusions General infection after burns could play an important role during the happening of hypertension after burns. We should pay more attention to the therapy of infection in treatment period.