烧伤外科切痂植皮疗法新复苏方案在儿童严重烧伤治疗中的应用

摘要

目的：探讨烧伤外科切痂植皮疗法新复苏方案在儿童严重烧伤治疗中的临床效果。方法采用新复苏方案对39例严重烧伤儿童进行液体复苏，并对比分析其与中国烧伤儿童复苏公式的复苏效果。结果本组患儿中除1例死于多器官功能衰竭外，其余38例均平稳度过休克期，其平均补液量为1953 mL，治愈率为97．44％。结论基于控制每小时补液量进行复苏的烧伤外科切痂植皮疗法新复苏方案，能够有效避免补液过程中水负荷对机体内环境和渗透压造成的不利影响，对提高复苏质量和复苏成功率具有重要意义。%Objective Investigate the clinical effects of new resuscitation scheme of the escharectomy and skin grafting therapy on children with severe burns. Methods The new resuscitation scheme was used in treatment of 39 chil⁃dren with severe burns for fluid resuscitation, compared with China pediatric burn resuscitation formula in efficacy. Results Except one patient died from multiple organ failure, the other 38 went through the shock period smoothly, the average vol⁃ume of fluid resuscitation was 1,953 ml, the cure rate was 97. 44%. Conclusion The new resuscitation scheme of the es⁃charectomy and skin grafting therapy which resuscitates based on the control of hourly volume of fluid load can avoid effec⁃tively the adverse effects caused by water load on the osmotic pressure and the body's internal environment, being of great significance to improve the resuscitation quality and the success rate of resuscitation.