烧伤再生疗法液体复苏公式应用分析

摘要

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 defi-cient is to adjust and regulate the resuscitation fluid volume based on the volume of 1ml urine output of one kilogram of body-weight per hour.%　　烧伤休克是创伤休克的特殊类型，它既不同于失血性休克，也不完全相同于创伤休克，有着特定的规律性和时限性。本文复习了近年来有关再生疗法治疗大面积烧伤的液体复苏资料，分析了胶晶型公式(通用公式)和再生疗法公式(荣祥公式)的临床应用情况。认为这两个公式均可采用，其计算量仅是参考值，关键在于根据每小时每公斤体重1 ml尿量调整或控制液体输入量，在排出尿液正常的情况下，一般不会出现液体输入过剩或亏欠现象。