He L, Guo Z, Chai J
Burn Institute, 304th Hospital of People's Liberation Army, Beijing 100037.
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1999 Mar;15(2):117-9.
To determine the benefit of hemodynamic monitoring for resuscitation of burn shock.
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.
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.
Invasive hemodynamic monitoring may be necessary to optimize resuscitation of serious burn patients with reasonable safety.
确定血流动力学监测对烧伤休克复苏的益处。
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。
在早期复苏期间进行有创监测相当安全。在血流动力学监测的指导下，经过适当的复苏治疗，烧伤后24小时全身血容量不足的证据消失。
对于严重烧伤患者，进行有创血流动力学监测可能对于以合理的安全性优化复苏是必要的。
