[Clinical analysis of fluid resuscitation in severe burned patients with or without inhalation injury].
The amount of fluid resuscitation, estimated according to crystal-colloid for formula, were retrospectively studied in 55 cases of severe burned patients with or without inhalation injury. These cases were divided into two groups. One group consisted of patients with inhalation injury, while the another there was no inhalation injury. The result showed that patients in the former required 13.5% additional amount of fluids over the latter in the first 24 hours postburn, and this amount was mainly due to the additional requirement in the first 8 hour period. We propose that the amount required in severe burned patients with inhalation injury in the first 24 hours postburn should be appropriately increased, and special attention should be paid to the harmful effect of inadequate fluid resuscitation in the first 8 hour period. The amount of fluids required for resuscitation in severe burned patients with inhalation injury, as estimated according to crystal-colloid formula, should be increased by 13.5% in the first 24 hours, and 2/3 of the addition amount should be given in the first 8 hours, with 1/3 of it in the second and third 8 hours postburn.
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Research Institute of Trauma-Burn Surgery, Second Military Medical College.
D000328:Adult; D002056:Burns / Q000628:therapy*; D002059:Burns, Inhalation / Q000628:therapy*; D005440:Fluid Therapy; D006801:Humans; D013997:Time Factors