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糖皮质激素在小儿烧伤休克早期的临床研究

Effect of glucocorticoid during early shock-term of burned child patients

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【作者】 周玉新张元利张林陈明星王伟勇庞书琴郇京宁

【Author】 ZHOU Yu-xin,ZHANG Yuan-li,ZHANG lin,et al. (The 11th Hospital of PLA , 835000,China)

【机构】 新疆伊宁解放军第11医院上海第二军医大学长海医院全军烧伤中心 新疆伊宁835000新疆伊宁835000新疆伊宁835000

【摘要】 目的 :观察糖皮质激素在小儿烧伤早期防治休克的意义。方法 :治疗 60例小儿烧伤患儿 ,常规抗休克 ,3 8例于伤后 6~12h应用氢化考的松 ,观察患儿的神志、生命体征及并发症。结果 :应用激素患儿病情稳定 ,神志好转 ,未发生休克和并发症 ;未用激素患儿休克度过不平稳 ,并发症较多。结论 :激素在小儿烧伤早期应用有利于烧伤休克防治 ,能减少并发症 ,应早期、适量、短疗程应用。

【Abstract】 Objective:To investigate the significance of early us e of glucocorticoid to prevent shock in burned child patients.Methods: 60 cases of burned child patients were invo lved in normal anti-shock treatment.Glucocorticoid was used in 38 of them within 6-12 hours postburn .Their mind,symptom of life and complication were observ ed.Results: The patients treated with glucocorticoid were stable and develop no shock and c omplications ,their mind became well;However, those treated with no glucocorticoid pass through shock-t erm unstably and had relatively many complications. Conclusion:Early use of glucocortic oid can prevent shock and abate complications in child burns. Its principle is that small dose of glucocorticoid should be used early in short term.

【关键词】 烧伤糖皮质激素休克
【Key words】 BurnGlucocorticoidShock
  • 【文献出处】 西北国防医学杂志 ,Medical Journal of National Defending Forces In Northwest China , 编辑部邮箱 ,2004年01期
  • 【分类号】R726.5
  • 【被引频次】3
  • 【下载频次】54
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