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題名 | Transpulmonary Thermodilution Technique Monitoring in Acute Major Burn Resuscitation--Report of Four Cases=經肺溫度稀釋監視進行重度燒傷之急性輸液急救--四個病例報告 |
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作者姓名(中文) | 魏林瑰; 陳天牧; 鄧守成; 王志信; 陳錫根; 戴念梓; 張舜程; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷期 | 21:4 2012.12[民101.12] |
頁次 | 頁325-335 |
分類號 | 416.141 |
關鍵詞 | 燒傷; 輸液急救; 經肺溫度稀釋技術; Burn resuscitation; Transpulmonary thermodilution monitor; PiCCO; Albumin; |
語文 | 英文(English) |
中文摘要 | 背景:燒傷急性急救治療一直在進步中。本院自2007年起採用每小時調整的輸液急救流程,有四個依此流程急救的病患同時也使用經肺溫度稀釋技術的監視器(PiCCO plus)。目的及目標:分享病患急救經驗及討論PiCCO在燒傷急救之意義與角色。材料及方法:自2007至2009年,四位燒傷病患採用了每小時調整輸液速率的急救流程,並以PiCCO監視體內輸液狀態,討論PiCCO可扮演之角色與功用。結果:燒傷病患前48小時均存活、無腎衰竭或肺水腫。輸液多於帕克蘭公式的計算。結論:PiCCO監視器協助評估體液狀況、心臟收縮力及肺微血管滲透力,支持大量快速輸液給予、也協助決定何時開始施打白蛋白。 |
英文摘要 | Background: The fluid resuscitation in acute burn injuries are improving. Since 2007, the hourly-adjusted fluid supplement protocol was used in our burn center. More recently, four severe burn patients who underwent such resuscitation also had monitoring for fluid status using the transpulmonary thermodilution technique (PiCCO plus). Aim and Objectives: To share and discuss our experiences by PiCCO monitoring of severe burn patients. Materials and Methods: Since 2007-2009, four patients were resuscitated according to hourly-adjusted fluid resuscitation protocol with monitoring by PiCCO. The parameters were collected and discussed. Results: All patients revealed free of renal failure or pulmonary edema within first 48 hours. The fluid amount of resuscitation was greater than that calculated by Parkland's formula. Conclusion: The PiCCO helped to clarify the details of fluid status, cardiac contractility, pulmonary capillary permeability and the best time of albumin administration. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。