A Clinical Study on the Treatment of Delayed Resuscitation of Children With Severe Burn Shock.

Abstract

Objective To study experiences and improve the treatment plan on delayed resuscitation of children with severe burn shock. Methods From February 2003 to May 2008, fifty-eight cases children patients who were in shock due to delayed admission to hospital with severe burn shock and were treatment in the Department of Burn Surgery, Sichuan Academy of Medical Science and Provincial People's Hospital were enrolled in the study. The children patients were treated by delayed rapid fluid replacement. The input of the fluid, urine output, pulse rate, respiration rate, and were monitored at the shock stage. Results After rapid fluid replacement, all children patients had remarkable increase in urine output, the indices of observation were all improved,and burn shock was corrected rapidly. The amount of rapid fluid infusion with 2 hours after admission accounted for(41. 1±4. 6)% of the amount calculated with the formula for the first 24 PBHs. The real amount of the infusion for the first 24 PBHs was(153. 4 ±25. 6)% more than that of the formula amount, and the real infusion fluid amount for the second 24 PBHs was(118. 6 ± 6. 8)% more than that of the formula amount. After rapid fluid infusion, there exhibited remarked increase in urine output, with evident increase. The shock rectify rate is 90%. Conclusion Rapid fluid replacement is effective treatment on delayed resuscitation of children with severe burn shock, and burn shock was corrected rapidly. In case of shock or compulsory delayed resuscitation, the amount of delayed rapid fluid infusion was much increased than routine. Key words: children severe burn; shock; delayed fluid resuscitation; rapid fluid replacement