[十年间52例严重烧伤患者的血流动力学监测]

[Hemodynamic monitoring in 52 serious burn patients in ten years].

作者信息

He L, Guo Z, Chai J

机构信息

Burn Institute, 304th Hospital of People's Liberation Army, Beijing 100037.

出版信息

Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1999 Mar;15(2):117-9.

PMID:11501137

Abstract

OBJECTIVE

To determine the benefit of hemodynamic monitoring for resuscitation of burn shock.

METHODS

A group of 52 burned patients with mean burn area of (69.9 +/- 20.1)% TBSA burn injury (range 31%-100%), and mean III burn area of (60.4 +/- 13.6)% TBSA were included in this study. Swan-Ganz catheters were inserted to monitor hemodynamics including RAP, PAP, PAWP, HR, CO, CI, and SI, etc. after admission at 8, 16, 24, 36, 48, 72, and 96 hours postburn.

RESULTS

It was reasonably safe to perform invasive monitoring during early resuscitation. With the guide of hemodynamic monitoring, evidence of global hypovolemia disappeared at 24 hours after burn injury with appropriate resuscitation therapy.

CONCLUSION

Invasive hemodynamic monitoring may be necessary to optimize resuscitation of serious burn patients with reasonable safety.

摘要

目的

确定血流动力学监测对烧伤休克复苏的益处。

方法

本研究纳入了一组52例烧伤患者，平均烧伤面积为（69.9±20.1）%TBSA（范围31%-100%），平均Ⅲ度烧伤面积为（60.4±13.6）%TBSA。入院后在烧伤后8、16、24、36、48、72和96小时插入Swan-Ganz导管监测血流动力学，包括RAP、PAP、PAWP、HR、CO、CI和SI等。