外科理论与实践 ›› 2023, Vol. 28 ›› Issue (05): 432-436.doi: 10.16139/j.1007-9610.2023.05.07
收稿日期:
2023-08-23
出版日期:
2023-09-25
发布日期:
2024-01-04
通讯作者:
张勤
E-mail:zq10365@rjh.com.cn
Received:
2023-08-23
Online:
2023-09-25
Published:
2024-01-04
摘要:
为应对烧伤休克期循环复苏工作中面临的休克期复苏公式优化及休克期麻醉及镇静-镇痛治疗时循环决策依据两大急需解决的问题,我们提出,采用将尿量与循环-氧合量化指标结合的循环评估方法,开展实时与动态循环不同维度相结合进行循环评估。本文介绍该工作的背景及理论与实践基础;推动开展更多烧伤休克期循环评估方法的临床研究,为未来烧伤休克期液体复苏公式更新作必要准备。
中图分类号:
张勤, 窦懿, 郜敏. 更新烧伤休克期循环系统评估的必要性与方法[J]. 外科理论与实践, 2023, 28(05): 432-436.
ZHANG Qin, DOU Yi, GAO Min. The necessity and approach for updating the circulatory system assessment in initial phase post-burn[J]. Journal of Surgery Concepts & Practice, 2023, 28(05): 432-436.
[1] |
SHAH A, PEDRAZA I, MITCHELL C, et al. Fluid vo-lumes infused during burn resuscitation 1980-2015: a quantitative review[J]. Burns, 2020, 46(1):52-57.
doi: 10.1016/j.burns.2019.11.013 URL |
[2] | 王光毅. 大面积烧伤休克期血流动力学监测的应用与评价[J]. 中华烧伤杂志, 2021, 37(2):131-135. |
WANG G Y. Application and evaluation of hemodynamic monitoring in shock stage of extensive burns[J]. Chin J Burns, 2021, 37(2):131-135. | |
[3] |
CANCIO L. Initial assessment and fluid resuscitation of burn patients[J]. Surg Clin North Am, 2014, 94:741-754.
doi: 10.1016/j.suc.2014.05.003 pmid: 25085085 |
[4] |
CHEN Z, YUAN K. Another important factor affecting fluid requirement after severe burn: a retrospective study of 166 burn patients in Shanghai[J]. Burns, 2011, 37(7):1145-1149.
doi: 10.1016/j.burns.2011.05.003 pmid: 21733630 |
[5] |
GUILABERT P, USÚA G, MARTÍN N, et al. Fluid resuscitation management in patients with burns: update[J]. Br J Anaesth, 2016, 117(3):284-296.
doi: 10.1093/bja/aew266 pmid: 27543523 |
[6] |
ISBI Practice Guidelines Committee, Steering Subcommittee, Advisory Subcommittee. ISBI practice guidelines for burn care[J]. Burns, 2016, 42(5):953-1021.
doi: S0305-4179(16)30144-9 pmid: 27542292 |
[7] |
BARCLAY T L, WALLACE A B. Management of burns. Ⅱ. Fluid replacement in burned patients[J]. Lancet, 1954, 266(6802):98-100.
pmid: 13118736 |
[8] | 盛志勇. 简要回顾中国烧伤医学发展——在纪念中华医学会烧伤外科学分会成立30周年大会上的讲话[J]. 中华烧伤杂志, 2014, 30(1):1-2. |
SHENG Z Y. A brief review of the development of burn medicine in China-Speech at the conference commemorating the 30th anniversary of the founding of the Burn Surgery Branch of the Chinese Medical Association[J]. Chin J Burns, 2014, 30(1):1-2. | |
[9] |
CANCIO L C, SALINAS J, KRAMER G C. Protocolized resuscitation of burn patients[J]. Crit Care Clin, 2016, 32(4):599-610.
doi: 10.1016/j.ccc.2016.06.008 pmid: 27600131 |
[10] |
CARTOTTO R, CALLUM J. A review on the use of plasma during acute burn resuscitation[J]. J Burn Care Res, 2020, 41(2):433-440.
doi: 10.1093/jbcr/irz184 pmid: 31734693 |
[11] |
TAPKING C, POPP D, HERNDON D N, et al. Cardiac dysfunction in severely burned patients: current understanding of etiology, pathophysiology, and treatment[J]. Shock, 2020, 53(6):669-678.
doi: 10.1097/SHK.0000000000001465 pmid: 31626036 |
[12] | DAVID N. Herndon. 烧伤治疗学(第五版翻译)[M]. 中国科学技术出版社, 2020. |
DAVID N. Herndon. Burn therapy (5th ed. translated)[M]. China Sci Technol Press, 2020. | |
[13] |
HELLENTHAL K E M, BRABENEC L, WAGNER N M. Regulation and dysregulation of endothelial permeability during systemic inflammation[J]. Cells, 2022, 11(12):1935.
doi: 10.3390/cells11121935 URL |
[14] |
KAO Y, LOH E W, HSU C C, et al. Fluid resuscitation in patients with severe burns: a meta-analysis of randomized controlled trials[J]. Acad Emerg Med, 2018, 25(3):320-329.
doi: 10.1111/acem.13333 pmid: 29024269 |
[15] | 刘健, 张勤, 郑捷新, 等. 烧伤早期容量复苏阶段心肌收缩力改变情况的临床研究[J]. 中华损伤与修复杂志(电子版), 2012, 7(5):501-505. |
LIU J, ZHANG Q, ZHENG J X, et al. Verification of early myocardial contractility impairment coincident with effective fluid resuscitation of extensive burn patients[J]. Chin J Injury Repair and Wound Healing(Electronic Edition), 2012, 7(5):501-505. | |
[16] | 李晓亮, 李琰光, 叶向阳, 等. PiCCO监测对烧伤机械通气患者休克期补液的临床指导意义[J]. 感染、炎症、修复, 2020, 21(2):92-97. |
LI X L, LI Y G, YE X Y, et al. Clinical significance of pulse indicator continuous cardiac output in monitoring fluid resuscitation for burned patients during mechanical ventilation[J]. Infect Inflamm Rep, 2020, 21(2):92-97. | |
[17] | 丁晓斌, 陈建, 杨雨婷, 等. 127例大面积烧伤患者休克期高乳酸值与死亡风险关联的回顾性队列研究[J]. 中华烧伤杂志, 2019, 35(5):326-332. |
DING X B, CHEN J, YANG Y T, et al. A retrospective cohort study on the association between high lactate value during shock and mortality risk in 127 patients with extensive burns[J]. Chin J Burns, 2019, 35(5):326-332. | |
[18] | 余惠, 朱飘飘, 陈丽映, 等. 脉搏轮廓心输出量监测技术在严重烧伤患者休克期液体复苏中的应用[J]. 中华烧伤杂志, 2021, 37(2):136-142. |
YU H, ZHU P P, CHEN L Y, et al. Application of pulse contour cardiac output monitoring technology in fluid resuscitation of severe burn patients in shock period[J]. Chin J Burns, 2021, 37(2):136-142. | |
[19] | GUO F, WANG X, HUAN J, et al. Association of platelet counts decline and mortality in severely burnt patients[J]. J Crit Care, 2012, 27(5):529.e1-e7. |
[20] | 吴静, 张勤, 刘健, 等. 特重度烧伤患者早期发生严重低钙血症的影响因素与临床意义[J]. 中华烧伤杂志, 2018, 34(4):203-207. |
WU J, ZHANG Q, LIU J, et al. Factors influencing the early onset of severe hypocalcaemia in patients with extra severe burns and its clinical significance[J]. Chin J Burns, 2018, 34(4):203-207. | |
[21] | 张勤, 汤耀卿. 重视烧伤早期液体复苏循环状态研究[J]. 中华烧伤杂志, 2018, 34(4):193-196. |
ZHANG Q, TANG Y Q. Lay emphasis on circulatory state research after fluid resuscitation in early burns[J]. Chin J Burns, 2018, 34(4):193-196. | |
[22] | AISSA I, MEZIANE M, EL KOUNDI A, et al. Refractory collapse and severe burn: think about acute adrenal insufficiency[J]. Am J Emerg Med, 2018, 36(4):733.e1-733.e2. |
[23] | 臧宇, 申传安. 严重烧伤患者的乳酸和乳酸清除率:指导复苏和预后的有效性和局限性[J]. 中华烧伤与创面修复杂志, 2022, 38(1):68. |
ZANG Y, SHEN C A. Lactate and lactate clearance in severely burned patients: validity and limitations in guiding resuscitation and prognosis[J]. Chin J Burns Wounds, 2022, 38(1):68. | |
[24] |
GREGORETTI C, DECAROLI D, PIACEVOLI Q, et al. Analgo-sedation of patients with burns outside the operating room[J]. Drugs, 2008, 68(17):2427-2443.
doi: 10.2165/0003495-200868170-00003 pmid: 19016572 |
[25] |
GENCER M, SEZEN O. A study comparing the effect of premedication with intravenous midazolam or dexmedetomidine on ketamine-fentanyl sedoanalgesia in burn patients: a randomized clinical trial[J]. Burns, 2021, 47(1):101-109.
doi: 10.1016/j.burns.2020.05.027 pmid: 33277091 |
[26] | 姜鹏君, 郭光华. 生长激素对机体营养代谢和免疫功能影响的研究进展[J]. 中华烧伤杂志, 2011, 27(5):367-370. |
JIANG P J, GUO G H. Progress in the study of the effects of growth hormone on the nutritional metabolism and immune function of the body[J]. Chin J Burns, 2011, 27(5):367-370. | |
[27] |
BOLDT J. Retraction Note to: fluid choice for resuscitation of the trauma patient: a review of the physiological, pharmacological, and clinical evidence[J]. Can J Anaesth, 2022, 69(6):806.
doi: 10.1007/s12630-021-02125-9 |
[28] |
BASAS V A, SCHUTZMAN L M, BROWN I E. Implications of the regulation of endothelial glycocalyx breakdown and reconstitution in severe burn injury[J]. J Surg Res, 2023, 286:110-117.
doi: 10.1016/j.jss.2022.12.033 pmid: 36804690 |
[29] | 吴静, 张勤. 严重烧伤早期心肌收缩功能障碍的发生机制[J]. 中华损伤与修复杂志(电子版), 2015, 10(6):49-52. |
WU J, ZHANG Q. Mechanism of myocardial contractile dysfunction in the early stage of severe burn[J]. Chin J Injury Repair and Wound Healing (Electronic Edition), 2015, 10(6):49-52. | |
[30] |
SULLIVAN S R, FRIEDRICH J B, ENGRAV L H, et al. “Opioid creep” is real and may be the cause of “fluid creep”[J]. Burns, 2004, 30(6):583-590.
doi: 10.1016/j.burns.2004.03.002 URL |
[31] | SCIBELLI G, MAIO L, SASSO M, et al. Dexmedetomidine: current role in burn ICU[J]. Transl Med UniSa, 2017, 16:1-10. |
[32] |
ADIBFAR A, CAMACHO F, ROGERS A D, et al. The use of vasopressors during acute burn resuscitation[J]. Burns, 2021, 47(1):58-66.
doi: 10.1016/j.burns.2020.09.005 pmid: 33293152 |
[33] |
TAPKING C, POPP D, HERNDON D N, et al. Cardiac dysfunction in severely burned patients: current understanding of etiology, pathophysiology, and treatment[J]. Shock, 2020, 53(6):669-678.
doi: 10.1097/SHK.0000000000001465 pmid: 31626036 |
[34] |
DOUCET J J, FERRADA P, MURTHI S, et al. Ultrasonographic inferior vena cava diameter response to trauma resuscitation after 1 hour predicts 24-hour fluid requirement[J]. J Trauma Acute Care Surg, 2020, 88(1):70-79.
doi: 10.1097/TA.0000000000002525 pmid: 31688824 |
[35] |
LIU Z, LI D, MA J, et al. A potential resuscitation route on battlefield: immediate intraperitoneal fluid administration post-burn shows satisfactory fluid absorption and anti-shock effects[J]. Mil Med, 2023, 188(9-10):e3000-e3009.
doi: 10.1093/milmed/usac370 URL |
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