烧伤分度(国外英文资料).doc

烧伤分度(国外英文资料) (1) initial treatment 1. Ⅰ ° burn wounds just keep clean and avoid damage again. 2. Ⅱ ° above, debridement and shock resistance. (2) hydration methods Calculation of quantity of II0, III ° burn the rehydration (2006-3-08) The first 24 hours In the second 24 hours Per 1 per cent area and weight of kilograms (for additional loss) Adult 1.5 ml Children of 1.8 ml Baby 2.0 ml The first 24 hours is 1/2 Crystal fluid: colloidal fluid Middle and heavy 2:1 2:1 2:1 With the left heavy 1:1 1:1 1:1 With the left Basic water requirement 2000 ml 60-80 - ml/kg 100 ml/kg With the left (the first 24 hours of rehydration = weight (kg) * burn area * 1.5 (adult) + base water requirement) (3) hydration methods Enter half of the total amount of the first eight hours, and the other half of the total amount in the next 16 hours. The area big, the symptom heavy person need rapid infusion, but to the original heart and lung function not full person should avoid too fast and cause heart failure and pulmonary edema. In the second 24 hours, the total amount of the fluid in addition to the basic water was the same, and the amount of colloidal liquid and electrolyte solution was the first 24 hours infusion. Intravenous fluids may be reduced or only oral rehydration to maintain fluid balance. Low carburizing should not be too fast, the critically ill supplement sodium bicarbonate. The crystal liquid is preferred to balance the salt solution, because it can avoid high cloimia and correct partial acidosis, and the second option is to wait for brine, 5% glucose, etc. The gel liquid preferred plasma to replenish the lost plasma protein, such as the unconditional selection of dextran, hydroxyethyl starch, etc. Whole blood is not suitable for the blood concentration when burned after burn, but it is applicable when deep burn damages multiple red blood cells. Monitoring of hydration Adult urine is appropriate for 30 ~ 50ml/h; 2, the heart rate is 120 beats per minute, systolic pressure is