贺立新 郭振荣 柴家科 盛志勇 高维谊 林洪远 韩家林 100037 北京，解放军第三○四医院烧伤研究所 中华整形烧伤外科杂志 1999 0 15 2


    关键词：烧伤；血流动力学；复苏 期刊 zhzxsswkzz 0 论 著 fur -->


    

【摘要】 目的 观察休克期血流动力学监测对复苏的指导意义。方法 采用血流动力学监测仪，对我科1985～1996年烧伤总面积在(69.9±20.1)%，Ⅲ度面积(60.4±13.6)%，且人院后均置入Swan-Ganz飘浮导管的52例烧伤病人的右房压(RAP)、肺动脉压(PAP)、肺动脉楔嵌压(PAWP)、心率(HR)、心排量(CO)、心排指数(CI)、每搏指数(SI)，于入院时及伤后8，16，24，48，72，96h进行了动态监测。结果 休克期实施有创血流动力学监测是安全的，无一例发生并发症；休克病人在烧伤后24h各项血流动力学指标基本恢复了正常。结论 烧伤休克期实施有创血流动力学监测对指导复苏具有重要意义。

    Hemodynamic monitoring in52 serious burn patients in ten years

HE Lixin,GUO Zhenrong,CHAIJiake,et al.

    Burn Institute,304th Hospital of People's Liberation Army,Beijing 100037

【 Abstract 】 Objective Todetermine the benefit of hemodynamic monitoring for resuscitation of burn shock.Methods A group of 52 burned patients with mean burn area of (69.9±20.1)% TBSA burninjury (range 31%～ 100%),andmean Ⅲ burn area of(60.4±13.6)% TBSA were included in this study.Swan-Ganz catheters were inserted tomonitor hemodynamics including RAP,PAP,PAWP,HR,CO,CI,and SI,etc.after admission at8,16,24,36,48,72,and 96 hours postburn.Results It was reasonably safe toperform invasive minitoring during early resuscitation.With the guide of hemodynamicmonitoring,evidence of global hypovolemia disappeared at 24 hours after burn injury withappropriate resuscitation therapy.Conclusion Invasive hemodynamicmonitoring may be necessary to optimize resuscitation of serious burn patients withreasonable safety.

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