燒傷再生療法液體復(fù)蘇公式應(yīng)用分析

摘要： 燒傷休克是創(chuàng)傷休克的特殊類型,它既不同于失血性休克,也不完全相同于創(chuàng)傷休克,有著特定的規(guī)律性和時(shí)限性。本文復(fù)習(xí)了近年來(lái)有關(guān)再生療法治療大面積燒傷的液體復(fù)蘇資料,分析了膠晶型公式(通用公式)和再生療法公式(榮祥公式)的臨床應(yīng)用情況。認(rèn)為這兩個(gè)公式均可采用,其計(jì)算量?jī)H是參考值,關(guān)鍵在于根據(jù)每小時(shí)每公斤體重1 ml尿量調(diào)整或控制液體輸入量,在排出尿液正常的情況下,一般不會(huì)出現(xiàn)液體輸入過(guò)?；蛱澢番F(xiàn)象。
Burn shock is a special type of traumatic shock,which is neither hemorrhagic shock nor traumatic shock but has its own specific regularity and time-limitation.This article reviewed the data of fluid resuscitation in MEBT/ MEBO treatment of extensive burns and made an analysis on the clinical use of both glue crystal formula(common formula) and MEBT/MEBO formula(Rongxiang Formula).It is believed that both of the two formulas could be used,of which the calculated volume only serves as a reference,and the key to controlling the normal urine output without fluid excess or deficient is to adjust and regulate the resuscitation fluid volume based on the volume of 1ml urine output of one kilogram of bodyweight per hour.