摘要
液体复苏是治疗烧伤休克的主要手段。补液公式为液体复苏疗法提供了明确的指导,对烧伤休克急救具有重要意义。世界范围内存在许多烧伤补液公式,目前Parkland公式应用广泛。虽然我国极少在临床中使用该公式,但国内外的科学研究中涉及该公式的案例并不鲜见。本文旨在综述Parkland公式的研究与应用现状。
Parkland formula is the most widely used re- suscitation formula in burn care. However, a growing number of disputes have been raised along with the development of medical technology, among which its total volume and composition of the fluid are the two loci. Firstly, Parkland formula may lead to an untoward phenomenon nicknamed " fluid creep", which may lead to complications such as abdominal compartment syndrome. Secondly, along with the deeper understanding of how permea- bility of blood vessels changes after burn injury, colloid is rec- ommended to be given after the third 8 h post-burn. Additional- ly, controversy exists in the choice of different colloid solutions. The safety of different colloid solutions remains to be further elu-cidated. This article will deal with all of the above-mentioned problems.
出处
《中华烧伤杂志》
CAS
CSCD
北大核心
2015年第3期235-237,共3页
Chinese Journal of Burns
基金
军事医学创新专项计划(13CXZ026)