严重烧伤延迟复苏的早期综合液体复苏
烧伤；延迟复苏；早期切(削)痂；早期胃肠道喂养；紫外线照射充氧的全血,,],烧伤；延迟复苏；早期切(削)痂；早期胃肠道喂养；紫外线照射充氧的全血,1资料与方法
[摘 要] 目的 旨在进一步提高严重烧伤延迟复苏液体复苏的早期综合液体复苏措施。方法 将72例延迟复苏的严重烧伤患者分成两个阶段,即1990年1月至1994年12月(第一阶段)和1995年1月至2001年12月(第二阶段)进行比较分析。第二阶段采用包括综合液体复苏在内的一系列措施与方法。结果 第二阶段收缩压、脉压差、血PaO2、碱缺失(BD)明显升高，尿量明显增加，而血清乳酸却较第一阶段低 (P<001～005)。结论 早期、快速、有效的液体复苏，早期切(削)痂、早期胃肠道喂养、输注经紫外线照射并充氧的全血等均有利于提高严重延迟复苏烧伤患者的复苏效果。[关键词] 烧伤；延迟复苏；早期切(削)痂；早期胃肠道喂养；紫外线照射充氧的全血
A clinical study on severely burned patients with delayed fluid resuscitation during early stage
LIU Min，WU ZuhuangDepartment of Burn and Plastic Surgery,the 95th Hospital of PLA，Putian 351100,Fujian，China
[Abstract] Objective To study the effect of fluid resuscitation on severely burned patients with delayed fluid resuscitationMethods From January 1990 to December 2001, 72 cases of delayed fluid resuscitation were admitted to our department ，two periods were divided and analyzed retrospectivelyResults The time during shock stage and levels of blood lactic acid (BLA) in the second period were very significantly lower than that of the first periodBlood pressure, PaO2,base deficit(BD) and urine output were increased in the second period (P<001～005) Conclusions Our dats demonstrate that the measures taken in the second period for patients with delayed fluid resuscitation,including early rapid adequate and compound resuscitation,early excision,early enteral feeding,xenotransfusion of ultravioletirradiated blood(XUIB ),play an important role on delayed fluid resuscitation ......
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