Yu Shui-xiu, Wang Xian-yuan, Zhang Jia-ping, Zhou Juan
Department of Military Nursing, Nursing School, the Third Military Medical University, Chongqing 400038, China.
Department of Military Nursing, Nursing School, the Third Military Medical University, Chongqing 400038, China. Email:
Zhonghua Shao Shang Za Zhi. 2013 Dec;29(6):554-7.
Shock is the one of the most serious complications during the early stage of burn injury. Early effective fluid resuscitation, enabling the burn patient to pass through the shock stage smoothly and uneventfully, plays a necessary and essential role in the prevention of the subsequent organ complications, reduction of mortality and morbidity, and improvement in life quality. Rapid restoration of blood volume is the fundamental measure to prevent burn shock. In this review, the history and the current status of several important issues related to burn shock resuscitation, including the fluid replacement formula, quality of fluids, and monitoring of physiological parameters, were over viewed. The authors also proposed that a new therapeutic strategy to prevent microvascular permeability should be emphasized and developed in future, which may hopefully act as the most basic approach to prevent burn shock and its related complications.
休克是烧伤早期最严重的并发症之一。早期有效的液体复苏能使烧伤患者顺利平稳地度过休克期，这对于预防后续器官并发症、降低死亡率和发病率以及提高生活质量起着必要且至关重要的作用。迅速恢复血容量是预防烧伤休克的根本措施。在这篇综述中，对烧伤休克复苏相关的几个重要问题的历史和现状进行了概述，包括补液公式、液体质量以及生理参数监测等。作者还提出，未来应着重强调并开发一种预防微血管通透性的新治疗策略，有望将其作为预防烧伤休克及其相关并发症的最基本方法。
