20xx年醫(yī)學(xué)專(zhuān)題—燒傷補(bǔ)液及進(jìn)展-資料下載頁(yè)
2024-11-15 07:00本頁(yè)面
【正文】 （或）白蛋白1g/體重（kg）,其余為5%葡萄糖液,不補(bǔ)充電解質(zhì)溶液。,第六十六頁(yè)，共七十二頁(yè)。,Lund—Browder圖表法,第六十七頁(yè)，共七十二頁(yè)。,Brooke公式(gōngsh236。),燒傷后第1個(gè)24h補(bǔ)液量為膠體液（ml）+乳酸鈉林格液（ml）+5%葡萄糖液2000ml（基礎(chǔ)水分）。 膠體液（ml）=Ⅱ、Ⅲ度燒傷面積(mi224。n jī)（%）體重（kg）0.5。 乳酸鈉林格液（ml）=Ⅱ、Ⅲ度燒傷面積（%）體重（kg）1.5 計(jì)算所得總補(bǔ)液量的半數(shù)在燒傷第1個(gè)8h內(nèi)補(bǔ)給,第2個(gè)和第3個(gè)8h各補(bǔ)充其總量的1/4。 燒傷傷后第2個(gè)24h補(bǔ)液量:除基礎(chǔ)水分量不變外,膠體液和乳酸鈉林格液按第1個(gè)24h實(shí)際補(bǔ)充量的半量補(bǔ)給。,第六十八頁(yè)，共七十二頁(yè)。,參考文獻(xiàn),[1]胡森,盛志勇．口服補(bǔ)液戰(zhàn)爭(zhēng)或突發(fā)事故及災(zāi)害時(shí)救治燒傷休克的液體復(fù)蘇(f249。 sū)途徑[J]．解放軍醫(yī)學(xué)雜志,2008,33:635—636． [2]吳志宏,張茂其,顧耀輝,等．燒傷早期液體復(fù)蘇患者水和電解質(zhì)平衡狀況分析[J]．中國(guó)臨床醫(yī)學(xué),2004,11(2):233—235． [3]楊宗城．改善早期補(bǔ)液方式減輕燒傷后早期內(nèi)臟損害[J]．中華燒傷雜志2005,21(3):162—164． [4]Moore FD,Peacock WC,Blakely E,et a1．The Anemia of Thermal Burns[J]．Ann Surg,1946,124(5):811～839． [5]Belba MK,Petrela EY,Belba GP．Comparison of hypertonic vs isotonic fluids during resuscitation of severely burned patients[J]．Am J Emerg Med,2009, 27(9):1091—1096． [6]Ben DF,Ma B,Chen XL,et a1．Burn injuries caused byship fire:a 12一year study in Shanghai[J]．Burns, 2010,36(4):576—580． [7]Cartotto R,Callum J．A review of the use of human albuot min in bum patients[J]．J Burn Care Res,2012,33(6):702—717．,第六十九頁(yè)，共七十二頁(yè)。,參考文獻(xiàn),[8]Aboelatta Y,Abdelsalam A．Volume Overload of FluidResuscitation in Acutely Burned Patients Using Transpul—monary Thermodilution Technique[J]．J Burn CareRes,2012,[Epub ahead of print]． [9]KobayashiL,Costantini TW,Coimbra R．Hypovolemic shock resuscitation[J]．Surg Clin North Am,2012,92(6):1403—1423． [10] Gatta A,Verardo A,Bolognesi M． Hypoalbuminemia[J]．Intern Emerg Med,2012, 7(Suppl 3):$193—199． [11]Rex S．Bum injuries[J]．Curt Opin Crit Care,2012,18(6):671—676． [12]Baker TA,Davis CS,Bach HHt,et a1．Ubiquitin and stromal cell——derived factor—1 alpha in bronchoalveolar lavage fluid after burn and inhalation injury[J]．J Burn Care Res,2012,33(1):57—64． [13]Andel D,Kamolz LP,Roka J,et a1．Base deficit and lactare:early predictors of morbidity and mortality in patients with burns[J]．Burns,2007,33(8):973—978． [14]Yan H,Peng X,Huang Y,et a1．Effects of early enteral arginine supplementati0n on resuscitation of severe burn patients[J]．Burns,2007,33(2):179—184． [15]閏柏剛,楊宗城,黃躍生,等．延遲(y225。nch237。)快速?gòu)?fù)蘇對(duì)燒傷休克循環(huán)影響的臨床研究[J]．中華燒傷 雜志,2001,17(5):266—269．,第七十頁(yè)，共七十二頁(yè)。,[16]Lund CC,Browder NC．The estimation of areas of bums[J]．Surg Gynecol Obstet,1944,79:352— 358． [17]Baxter CR,Shires T．Physiological response to erystalloidresuscitation of severe burns[J]． Ann N Y Aead Sci,1968,150(3):874—894． [18]Benicke M,Perbix W,Lefering R,et a1．New multifacto—rial burn resuscitation formula offers superior predictive re—liability in comparison to established algorithms[J]．Burns,2009, 35(1):30—35． [19]Diop—Ndoye M,Bodjona JP,Diouf E,et a1．Manage—ment of thermal severe burns in children in Le Dantec U—niversity Teaching Hospital[j]．Dakar Med,2005,50(3):194—197 [24]郭振榮,盛志勇,柴家科,等．燒傷(shāoshāng)休克防治措施的改進(jìn)[J]．感染、炎癥、修復(fù),2002,3(4):195—198,第七十一頁(yè)，共七十二頁(yè)。,內(nèi)容(n232。ir243。ng)總結(jié),燒傷補(bǔ)液及進(jìn)展。傷及部分生發(fā)層或真皮乳頭層。3.修復(fù)期: 此期包括創(chuàng)面修復(fù)與功能修復(fù)。2.使用有效抗生素,及時(shí)有效地防治全身性感染:。而高滲鹽溶液能較好地維持(w233。ich237。)滲透壓,對(duì)機(jī)體細(xì)胞免疫功能的影響也相對(duì)較小。35(1):30—35．,第七十二頁(yè)，共七十二頁(yè)。,
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