CAJ | 학술논문

目的　观察小剂量高渗液对严重烧伤病人休克期的治疗效果。方法　对16例重度以上烧伤病人给予7.5%NaL+6%D-70复苏，同时收治的16例重度以上烧伤病人给予乳酸林格氏液复苏，对两组间抗休克效果进行对比研究。结果　使用HLD液复苏休克后各休克监测指标（血压、尿量、中心静脉压及动脉血乳酸盐值）与对照组（LR液组）相比，无显著性差异(P>0.05)。但两组间液体输注量(P<0.001)及第5、10、15天血细菌培养(P<0.05)均有显著性差异。结论　高渗液具有明显的抗休克作用，能使复苏液体用量减少而避免循环超负荷，其调理免疫功能的作用显著优于等渗液。
목적　관찰소제량고삼액대엄중소상병인휴극기적치료효과。 방법　대16례중도이상소상병인급여7.5%NaL+6%D-70복소，동시수치적16례중도이상소상병인급여유산림격씨액복소，대량조간항휴극효과진행대비연구。결과　사용HLD액복소휴극후각휴극감측지표（혈압、뇨량、중심정맥압급동맥혈유산염치）여대조조（LR액조）상비，무현저성차이(P>0.05)。단량조간액체수주량(P<0.001)급제5、10、15천혈세균배양(P<0.05)균유현저성차이。결론　고삼액구유명현적항휴극작용，능사복소액체용량감소이피면순배초부하，기조리면역공능적작용현저우우등삼액。
Objective:To observe the treatment effect of HLD fluid on severely burned patients. Methods： 32 extensively burned patients (burn size exceeding 30%TBSA) from September 1999 to October 2000 were randomly divided into two groups. Treatment group (T group)received HLD fluid resuscitation, and control group (C group) received LR fluid resuscitation. Then curative effect of T group was compared with that of C group. Results: Various shock marks of inspection (blood pressure , urinary output ,CVP ,salt lactate of arteries blood ) had no obvious difference between two groups (P>0.05) . But the bacteria culture of blood in two groups was different (P<0.05) . Conclusion: HLD fluid had actual treatment effects on shock and could significantly reduce the amount of fluid infused about 45%compared with LR solution . And HLD resuscitation had the effect of regulating immune function．