随着现代危重病医学的兴起和ICU专科的广泛建立,现代休克的复苏概念和救治手段发生了很大变化,临床医师急需对现有知识进行更新。本文复习有关文献拟对烧伤休克液体复苏的进展作一概述。 1 休克概念及病理生理变化的再认识 80年代末以来,对休克本质的认识已以单纯的低血压、低血容量和微循环障碍进入到细胞水平阶段。现代休克的基本概念应该是:在致伤因素打击下迅速出现的以组织细胞内广泛而深刻的组织氧合不 With the rise of modern critically ill medicine and the extensive establishment of ICU specialties, the concept and treatment of recovery in modern shock have undergone great changes, and clinicians urgently need to update existing knowledge. This review of the literature to be on the progress of burn shock fluid recovery is summarized. A re-understanding of the concept of shock and pathophysiological changes Since the late 1980s, the understanding of the nature of shock has entered the cellular level with simple hypotension, hypovolemia and microcirculation. The basic concept of modern shock should be: under the attack of a traumatic factor, rapid and widespread tissue oxygenation in the cells of the tissues is not