郭振荣 盛志勇 贺立新 高维谊 杨红明 柴家科 100037 北京，解放军第三○四医院烧伤研究所 中华整形烧伤外科杂志 1998 0 0 3


    关键词：烧伤；休克期；切痂 期刊 zhzxsswkzz 0 论 著 fur -->


    

【摘要】 目的 为无监测条件下开展休克期切痂的同行提供一些实用的临床观察指标。方法 总结了60例休克期切痂病人的临床经验。结果 提出了选择休克期切痂时机的临床观察指标:①第一个24小时入量2.6～3.0ml*kg^-1 *1%TBSA^-1 ；②尿量80～100ml/小时；③意识清楚；④口渴明显减轻，无恶心呕吐；⑤心率100次/分左右；⑥血红蛋白≤150g/L；⑦红细胞压积≤0.50。结论 根据这些临床指标实施休克期切痂植皮手术是安全的。

    Clinical guidelines for timing of escharectomy andskin grafting during burn shock stage in extensively burned patients GuoZhenrong,Sheng Zhiyong,He Lixin,et al.Burn Institute,304th Hospital of People's LiberationArmy,Beijing,100037

    【Abstract】 Objective To provide practical clinical guidelines todoctors who have no hemodynamic monitoring facilities in performing escharectomy duringthe shock period in extensively burned patients.Methods We analyzed ourclinical experiences in 60 patients with extensive burn.Results Putingforward several clinical indexes for timing of escharectomy during burn shock stage:①Amount of fluids in the first 24h postburn 2.6～3.0ml*kg^-1 *1% TBSA^-1 ;②Output of urine 80～100ml/h;③Mentally fully conscious;④Thirstsignificantly alleviated and there is no nausea and vomiting;⑤Pulse 100/min;⑥Hb≤150g/L;⑦Hct≤0.50.Conclusion With the clinical indexes asquidelines,we assume that escharectomy could be performed during burn shock stage withreasonable safety.

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