外科理论与实践 ›› 2023, Vol. 28 ›› Issue (05): 432-436.doi: 10.16139/j.1007-9610.2023.05.07

• 专家论坛 • 上一篇    下一篇

更新烧伤休克期循环系统评估的必要性与方法

张勤(), 窦懿, 郜敏   

  1. 上海交通大学医学院附属瑞金医院灼伤整形科,上海 200025
  • 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

The necessity and approach for updating the circulatory system assessment in initial phase post-burn

ZHANG Qin(), DOU Yi, GAO Min   

  1. Department of Burn and Plastic, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • 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。

关键词: 烧伤, 液体复苏, 循环, 麻醉, 镇静药物

Abstract:

For resolving the major problems of the optimization of the formula of resuscitation and the basis for circular decision-making in the treatment of anesthesia and sedation-analgesia in inital phase post-burn, we propose to use a cycle assessment method that combines urine output with circulation-oxygenation quantitative indexes to carry out cycle assessment. Here, we introduced the background and theoretical and practical basis of combining different dimensions of immediate and dynamic circulation to promote more clinical research on circulation assessment methods, so as to make necessary preparations for the future update of fluid resuscitation formula in initial phase post-burn.

Key words: Burn, Fluid resuscitation, Circulation, Anesthesia, Sedation

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