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烧伤复苏:是简单易行还是颇具挑战?

Burn resuscitation: is it straightforward or a challenge?

作者信息

Hayek S, Ibrahim A, Abu Sittah G, Atiyeh B

机构信息

Plastic and Reconstructive Surgery, American University of Beirut, Beirut, Lebanon.

出版信息

Ann Burns Fire Disasters. 2011 Mar 31;24(1):17-21.

Abstract

Burn shock resuscitation has been extensively studied over the past four decades. Many formulas exist and many parameters have been suggested to assess the adequacy of resuscitation. The most commonly used formula is the Parkland formula, the most commonly used fluids are crystalloids, and the most commonly used parameter is urine output. However, until now, no conclusive evidence has suggested that one formula is superior to another or that one parameter is a better predictor than another. In this article we will review the updated information about the subject and we will look into new advancements in this field. We will pose some questions at the end that will help researchers concentrate their future efforts to solve this important challenge in burn care.

摘要

在过去的四十年里,烧伤休克复苏已经得到了广泛的研究。存在许多公式,并且提出了许多参数来评估复苏的充分性。最常用的公式是帕克兰公式,最常用的液体是晶体液,最常用的参数是尿量。然而,到目前为止,没有确凿的证据表明一种公式比另一种更优越,或者一个参数比另一个是更好的预测指标。在本文中,我们将回顾关于该主题的最新信息,并探讨该领域的新进展。我们将在最后提出一些问题,这将有助于研究人员集中未来的精力来解决烧伤护理中的这一重要挑战。

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本文引用的文献

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Burn resuscitation: the results of the ISBI/ABA survey.烧伤复苏:ISBI/ABA 调查结果。
Burns. 2010 Mar;36(2):176-82. doi: 10.1016/j.burns.2009.09.004. Epub 2009 Dec 16.
4
The Parkland formula under fire: is the criticism justified?备受争议的帕克兰公式:批评是否合理?
J Burn Care Res. 2008 Jan-Feb;29(1):180-6. doi: 10.1097/BCR.0b013e31815f5a62.
5
Burn resuscitation.烧伤复苏
J Burn Care Res. 2007 Jul-Aug;28(4):555-65. doi: 10.1097/bcr.0b013e318093df01.
6
The phenomenon of "fluid creep" in acute burn resuscitation.急性烧伤复苏中的“液体蠕动”现象。
J Burn Care Res. 2007 May-Jun;28(3):382-95. doi: 10.1097/BCR.0B013E318053D3A1.
9
Closed-loop resuscitation of burn shock.烧伤休克的闭环复苏
J Burn Care Res. 2006 May-Jun;27(3):377-85. doi: 10.1097/01.BCR.0000216512.30415.78.
10
Impedance cardiography: a potential monitor for hemodialysis.阻抗心动图:一种用于血液透析的潜在监测器。
J Surg Res. 2006 Jun 1;133(1):55-60. doi: 10.1016/j.jss.2006.03.004. Epub 2006 Apr 21.

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