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小儿烧伤液体复苏的研究进展

郑洋洋 黄婷 刘之慧 刘军

郑洋洋, 黄婷, 刘之慧, 等. 小儿烧伤液体复苏的研究进展[J]. 中华烧伤与创面修复杂志, 2024, 40(8): 791-795. DOI: 10.3760/cma.j.cn501225-20231030-00157.
引用本文: 郑洋洋, 黄婷, 刘之慧, 等. 小儿烧伤液体复苏的研究进展[J]. 中华烧伤与创面修复杂志, 2024, 40(8): 791-795. DOI: 10.3760/cma.j.cn501225-20231030-00157.
Zheng YY,Huang T,Liu ZH,et al.Research advances on fluid resusin pediatric burns[J].Chin J Burns Wounds,2024,40(8):791-795.DOI: 10.3760/cma.j.cn501225-20231030-00157.
Citation: Zheng YY,Huang T,Liu ZH,et al.Research advances on fluid resusin pediatric burns[J].Chin J Burns Wounds,2024,40(8):791-795.DOI: 10.3760/cma.j.cn501225-20231030-00157.

小儿烧伤液体复苏的研究进展

doi: 10.3760/cma.j.cn501225-20231030-00157
详细信息
    通讯作者:

    刘军,Email:13659329321@163.com

Research advances on fluid resuscitation in pediatric burns

More Information
  • 摘要: 烧伤后的液体复苏对患儿的生存与预后至关重要,尽管小儿液体复苏原则与成人相似,但须充分考虑小儿独特的生理需求,防止液体复苏不足或过度。在临床实践中,因各项监测技术的普及,液体复苏不足可以被及时观察到,但液体复苏过度往往被忽视。而液体复苏过度可导致液体外渗,增加小儿烧伤并发症发生的概率及不良预后等。该综述围绕烧伤小儿独特的病理生理特征及如何避免液体复苏过度而展开,以期为其合理补液提供参考。

     

  • 参考文献(33)

    [1] 杨萌, 戴小华, 郭光华, 等. 不同年龄段不同烧伤面积严重烧伤患儿休克期液体复苏策略及疗效评价[J].中华烧伤杂志,2021,37(10):929-936. DOI: 10.3760/cma.j.cn501120-20210408-00119.
    [2] RomanowskiKS, PalmieriTL. Pediatric burn resuscitation: past, present, and future[J/OL]. Burns Trauma, 2017,5:26[2023-10-30]. https://pubmed.ncbi.nlm.nih.gov/28879205/. DOI: 10.1186/s41038-017-0091-y.
    [3] PalmieriTL. Pediatric burn resuscitation[J]. Crit Care Clin, 2016,32(4):547-559. DOI: 10.1016/j.ccc.2016.06.004.
    [4] MathiasE, Srinivas MurthyM. Pediatric thermal burns and treatment: a review of progress and future prospects[J]. Medicines (Basel), 2017,4(4):91.DOI: 10.3390/medicines4040091.
    [5] KleinMB, HaydenD, ElsonC, et al. The association between fluid administration and outcome following major burn: a multicenter study[J]. Ann Surg, 2007,245(4):622-628. DOI: 10.1097/01.sla.0000252572.50684.49.
    [6] ArbuthnotMK, GarciaAV. Early resuscitation and management of severe pediatric burns[J]. Semin Pediatr Surg, 2019,28(1):73-78. DOI: 10.1053/j.sempedsurg.2019.01.013.
    [7] BaxterCR, ShiresT. Physiological response to crystalloid resuscitation of severe burns[J]. Ann N Y Acad Sci, 1968, 150(3):874-894.DOI: 10.1111/j.1749-6632.1968.tb14738.x.
    [8] 吴歌, 晁生武. 高原地区小儿烧伤休克液体复苏的治疗研究进展[J].临床医学进展,2023,13(3):3212-3221.DOI: 10.12677/acm.2023.133457.
    [9] 柴家科.实用烧伤外科学[M].北京:人民军医出版社,2014.
    [10] 贾享成, 张建明, 马伟. 小儿严重烧伤休克液体治疗探讨[J].河北医药,2001,23(6):421-423. DOI: 10.3969/j.issn.1002-7386.2001.06.009.
    [11] 苏海涛, 朱应来, 李宗瑜, 等. 150例重度和特重度烧伤患儿休克期计划液体复苏的效果分析[J].中华烧伤杂志,2017,33(7):419-421. DOI: 10.3760/cma.j.issn.1009-2587.2017.07.005.
    [12] SadideenH, D'AstaF, MoiemenN, et al. Does overestimation of burn size in children requiring fluid resuscitation cause any harm?[J]. J Burn Care Res, 2017,38(2):e546-e551. DOI: 10.1097/BCR.0000000000000382.
    [13] ShahA, PedrazaI, MitchellC, et al. Fluid volumes infused during burn resuscitation 1980-2015: a quantitative review[J]. Burns, 2020,46(1):52-57. DOI: 10.1016/j.burns.2019.11.013.
    [14] MehrotraS, MisirA. Special traumatized populations: burns injuries[J]. Curr Pediatr Rev, 2018,14(1):64-69. DOI: 10.2174/1573396314666180608095033.
    [15] MbadiweN, GeorgetteN, SlidellMB, et al. Higher crystalloid volume during initial pediatric trauma resuscitation is associated with mortality[J]. J Surg Res, 2021,262:93-100. DOI: 10.1016/j.jss.2020.12.063.
    [16] ShazBH, WinklerAM, JamesAB, et al. Pathophysiology of early trauma-induced coagulopathy: emerging evidence for hemodilution and coagulation factor depletion[J]. J Trauma, 2011,70(6):1401-1407. DOI: 10.1097/TA.0b013e31821266e0.
    [17] HughesNT, BurdRS, TeachSJ. Damage control resuscitation: permissive hypotension and massive transfusion protocols[J]. Pediatr Emerg Care, 2014,30(9):651-656; quiz 657-658. DOI: 10.1097/PEC.0000000000000217.
    [18] CottonBA, GuyJS, MorrisJA, et al. The cellular, metabolic, and systemic consequences of aggressive fluid resuscitation strategies[J]. Shock, 2006,26(2):115-121. DOI: 10.1097/01.shk.0000209564.84822.f2.
    [19] TranA, YatesJ, LauA, et al. Permissive hypotension versus conventional resuscitation strategies in adult trauma patients with hemorrhagic shock: a systematic review and meta-analysis of randomized controlled trials[J]. J Trauma Acute Care Surg, 2018,84(5):802-808. DOI: 10.1097/TA.0000000000001816.
    [20] WoodwardL,AlsabriM.Permissive hypotension vs. conventional resuscitation in patients with trauma or hemorrhagic shock: a review[J].Cureus,2021,13(7):e16487.DOI: 10.7759/cureus.16487.
    [21] TranA, CampbellBT. The art and science of pediatric damage control[J]. Semin Pediatr Surg, 2017,26(1):21-26. DOI: 10.1053/j.sempedsurg.2017.01.005.
    [22] Müller DittrichMH, Brunow de CarvalhoW, Lopes LavadoE. Evaluation of the "early" use of albumin in children with extensive burns: a randomized controlled trial[J]. Pediatr Crit Care Med, 2016,17(6):e280-e286. DOI: 10.1097/PCC.0000000000000728.
    [23] FaraklasI, LamU, CochranA, et al. Colloid normalizes resuscitation ratio in pediatric burns[J]. J Burn Care Res, 2011,32(1):91-97. DOI: 10.1097/BCR.0b013e318204b379.
    [24] O'CurrainE, O'SheaJE, McGroryL, et al. Smaller facemasks for positive pressure ventilation in preterm infants: a randomised trial[J]. Resuscitation, 2019,134:91-98. DOI: 10.1016/j.resuscitation.2018.12.005.
    [25] 中华医学会烧伤外科学分会. 儿童深Ⅱ度烧伤创面处理专家共识(2023版)[J]. 中华烧伤与创面修复杂志, 2023, 39(10): 901-910. DOI: 10.3760/cma.j.cn501225-20230730-00026.
    [26] HollénL, CoyK, DayA, et al. Resuscitation using less fluid has no negative impact on hydration status in children with moderate sized scalds: a prospective single-centre UK study[J]. Burns, 2017,43(7):1499-1505. DOI: 10.1016/j.burns.2017.04.011.
    [27] WalkerTL, RodriguezDU, CoyK, et al. Impact of reduced resuscitation fluid on outcomes of children with 10-20% body surface area scalds[J]. Burns, 2014,40(8):1581-1586. DOI: 10.1016/j.burns.2014.02.013.
    [28] KunstG, OstermannM. Intraoperative permissive oliguria - how much is too much?[J]. Br J Anaesth, 2017,119(6):1075-1077. DOI: 10.1093/bja/aex387.
    [29] 中华医学会儿科学分会急救学组, 中华医学会急诊医学分会儿科学组, 中国医师协会儿童重症医师分会. 儿童脓毒性休克(感染性休克)诊治专家共识(2015版)[J].中华儿科杂志,2015,53(8):576-580. DOI: 10.3760/cma.j.issn.0578-1310.2015.08.007.
    [30] 王小亭, 刘大为, 于凯江, 等. 中国重症超声专家共识[J].中华内科杂志,2016,55(11):900-912. DOI: 10.3760/cma.j.issn.0578-1426.2016.11.020.
    [31] HoskinsSL, ElgjoGI, LuJ, et al. Closed-loop resuscitation of burn shock[J]. J Burn Care Res, 2006,27(3):377-385. DOI: 10.1097/01.BCR.0000216512.30415.78.
    [32] OfeiSY, FuchsGJ. Principles and practice of oral rehydration[J]. Curr Gastroenterol Rep, 2019,21(12):67. DOI: 10.1007/s11894-019-0734-1.
    [33] WangD, DengL, ZhangR, et al. Efficacy of intraosseous access for trauma resuscitation: a systematic review and meta-analysis[J]. World J Emerg Surg, 2023,18(1):17. DOI: 10.1186/s13017-023-00487-7.
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出版历程
  • 收稿日期:  2023-10-30
  • 网络出版日期:  2024-08-19

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