重度烧冲复合伤早期补液治疗的实验研究

Early fluid therapy for dogs with severe burn-blast combined injury

用50只犬致成25%Ⅲ度烧伤加中度冲击伤。分对照及4个治疗组(不同补液和补钠量)。结果提示,任何方案的治疗均有一定作用,但以晶体加全血(8小时后给)疗效最好。补液以谨慎为佳,钠量以0.3mmol·kg^(-1)·1%烧伤面积为宜,给水量以2～2.5ml·kg^(-1)·1%烧伤面积为好。Parkland 公式治疗后肺水含量高,似不宜推崇。血浆粘度,微量血球压积和尿血钠含量连续观测简易而实用。

Fifty male mongreal dogs were inflicted with 25% Ⅲ° burn combined with moderate blast injury.They were divided into five groups:four treatment groups (with various