• 中国烧伤休克液体复苏70 年进展
  • Advances of Fluid Resuscitation for Burn Shock over the Past 70 Years in China
  • 孙业祥.中国烧伤休克液体复苏70 年进展[J].中国烧伤创疡杂志,2019,(4):229~235.
    DOI:
    中文关键词:  烧伤  休克  液体复苏  血流动力学监测  终级复苏指标  综述
    英文关键词:Burns  Shock  Fluid resuscitation  Hemodynamic monitoring  Ultimate recovery indicator  Review
    基金项目:
    作者单位
    孙业祥 安徽医科大学第一附属医院烧伤科 
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    中文摘要:
          【摘要】建国70年以来,中国烧伤休克液体复苏从最初的引用美国补液公式逐步发展到创立国内通用烧伤液体复苏公式?现代烧伤液体复苏公式与烧伤延迟复苏补液公式等液体复苏公式,并经历了“机械遵循补液公式”“个性化补液”与“目标复苏”三个阶段,显著提高了烧伤休克液体复苏的成功率?然而,随着研究的不断深入,部分研究学者发现了烧伤休克液体复苏的发展规律不明确?复苏监测指标不完善等新的问题,遂笔者于本研究中对建国70年来国内烧伤休克液体复苏公式与治疗方案的发展?晶胶体液与水分的应用以及烧伤休克复苏监测指标的变迁等进行了综述,旨在为烧伤休克液体复苏新问题?新方法与新指标的进一步深入研究提供思路与帮助,从而有效提高烧伤休克的防治效果?
    英文摘要:
          【Abstract】 Since the founding of the People’ s Republic of China for 70 years, the fluid resuscitation formula for burn shock in China has advanced from the initially?referenced US fluid resuscitation formula to the established commonly? used fluid resuscitation formula, modern fluid resuscitation formula, delayed fluid resuscitation formula and etc. , undergo? ing three stages of “ mechanically following the fluid resuscitation formula”, “ individualized fluid resuscitation formula” and “ targeted fluid resuscitation”, and thus the success rate of fluid resuscitation for burn shock has been greatly improved. However, with the deepening of studies, researchers found some new problems during the fluid resuscitation for burn shock such as indefinite progress law, ill?defined recovery monitoring indicators and etc. , and therefore, this study made a review on the development of the fluid resuscitation formula and treatment protocols for burn shock, the application of crystal fluid and water, and the changes of recovery monitoring indicators in China over the past 70 years, with the aim of providing in? sights and help for the further research on the new problems, methods and indicators in fluid resuscitation for burn shock, and thereby improving the prevention and treatment effect of burn shock effectively.