摘要
我们回顾性分析了55例大面积烧伤伴吸入性损伤与单纯体表烧伤病例在晶胶公式指导下的早期补液量,发现前者较后者第一个24小时补液总量增加13.5%,并且主要在第一个8小时。提出了大面积烧伤伴吸入性损伤病人第一个24小时要适当增加补液量,特别要注意第一个8小时补液不足的不良影响。
The amount of fluid resuscitation,estimated according to crystal-colloid for formula,were retrospectively studied in 55 cases of severe burned patients with or without inhalation injury. These cases were divided into two groups.One group consisted of patients with inhalation injury,while the another there was no inhalation injury.The result showed that patients in the former required 13.5% additional amount of fluids over the latter in the first 24 hours postburn,and this amount was mainly due to the additional requirement in the first 8 hour period. We propose that the amount required in severe burned patients with inhalation injury in the first 24 hours postburn should be appropriately increased,and special attention should be paid to the harmful effect of inadequate fluid resuscitation in the first 8 hour period.The amount of fluids required for resuscitation in severe burned patients with inhalation injury, as estimated according to crystal-colloid formula,should be increased by 13.5% in the first 24 hours,and 2/3 of the additional amount should be given in the first 8 hours,with 1/3 of it in the second and third 8 hours postburn.
