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目的:分析烧伤休克复苏中应用小剂量高渗液的临床效果。方法:将我院2011年3月~2014年5月接诊的烧伤休克患者92例作为研究对象,随机均分为研究组与对照组,各自46例。对照组患者输注平衡盐溶液,研究组患者则输注小剂量高渗液,其他治疗措施相同。对比分析两组患者的液体复苏效果。结果:两组患者治疗后动脉血乳酸含量相较于治疗前有一定降低,但在同时间段研究组较对照组下降更明显(P<0.05),两组患者治疗后血压与尿量等皆有一定升高,但在同时间段研究组较对照组升高更明显(P<0.05)。结论:在烧伤休克复苏中应用小剂量高渗液可以取得比较良好的复苏效果,能明显改善患者的血压与尿量且降低动脉血乳酸含量,值得推广。
Objective: To analyze the clinical effect of applying low dose and high liquid in burn shock resuscitation. Methods: A total of 92 patients with burn shock admitted from March 2011 to May 2014 in our hospital were randomly divided into study group and control group, with 46 cases each. Patients in the control group were infused with balanced salt solution and patients in the study group were infused with low-dose hypertonic solution. Other treatment measures were the same. Comparative analysis of two groups of patients with liquid resuscitation. Results: After treatment, the lactic acid content of arterial blood in both groups was lower than that before treatment, but was significantly lower in the study group than in the control group (P <0.05). The blood pressure and urine output of the two groups were However, in the same period, the study group was more obvious than the control group (P <0.05). Conclusion: It is worth to popularize the application of low dose of hypertonic fluid in burn shock resuscitation to get better resuscitation effect, improve blood pressure and urine output and reduce arterial blood lactate.