贵州医科大学学报

1986, (04) 368-370

[打印本页] [关闭]
本期目录(Current Issue) | 过刊浏览(Past Issue) | 高级检索(Advanced Search)

28例大面积烧伤休克期体液复苏的回顾性探讨
A REVIEW OF THE FLUID REPLACEMENT THERAPY IN 28 CASES WITH BURN SHOCK

李嘉琥;
Li Jiahu Dep of Burn & Plastics

摘要(Abstract):

本文讨论28例平均烧伤面积61.4%的病人休克期体液复苏。48h 内,补液量、Na~+量均较国内、外其它公式计算所需量少。但从伤后至开始排尿的2h 内补 Na~+量较其它公式为多,且所补晶体为高渗液。休克期晶体用硷性平衡液补给,可提供所需 HCo_3~-的一半,不足部份用5%S.B 供给。
Methods for curing severe burn shock are discussed in 28 cases.These pati- ents had suffered from burn meanly over 61.4% of the body surface and did not eat or drink during the shock period (48 hours).The fluid replacement therapy showed that:1)The capacity of fluid infusion,according to our calculation,was 2.07ml/kg/%.This is less than the capacity usually stated by other formulas used in China,it is 8% less (0.18ml/kg/0/0).2)The capacity of Na~+ is 0.33mmol/kg/%,which is also less than the usual formula. According to our treatment,from injury to the time of urination (within the first 2 hours),the Na~+ injected is 14% of the total,and is more than the capacity used by other formulas.3)The total capacity of HCO_3~- used is 0.127mmol/kg/%.The proportion of electrolyte liquor could be supplied by balanced-liquor,which however,can only provide a half of the total need, wecan use 5 %S.B.instead of the other portion.

关键词(KeyWords): 烧伤休克;体液复苏;平衡液;高渗盐液
Fluid replacement;therapy Burn shock;Balanced liguor;Hypertonic sodium;solutions

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 李嘉琥;
Li Jiahu Dep of Burn & Plastics

Email:

DOI: 10.19367/j.cnki.1000-2707.1986.04.023

文章评论(Comment):

序号(No.) 时间(Time) 反馈人(User) 邮箱(Email) 标题(Title) 内容(Content)
反馈人(User) 邮箱地址(Email)
反馈标题(Title)
反馈内容(Content)
扩展功能
本文信息
服务与反馈
本文关键词相关文章
本文作者相关文章
中国知网
分享