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大面积烧伤患者由于大量血浆样液体渗出,有效循环血量急剧下降,出现低血容量性休克,快速、有效补液是防治休克的根本措施[1]。然而,大面积烧伤患者由于皮肤大面积受损,体表静脉大多被破坏,可供输液的静脉不多,静脉穿刺条件极差。2005年1月~2010年12月,我们将深静脉置管应用于大面积烧伤患者休克期的治疗中,效果满意。
Large area burn patients due to a large number of plasma-like liquid exudation, the effective circulating blood volume dropped sharply, hypovolemic shock, rapid and effective rehydration is the fundamental measure to prevent shock [1]. However, extensive burned patients suffer from large area of skin damage, most of the body surface veins are destroyed, not enough for intravenous infusion, venous puncture conditions are very poor. From January 2005 to December 2010, we applied deep vein catheterization in the treatment of shock in patients with extensive burns, with satisfactory results.