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ID 37684
本文ファイル
著者
Okabayashi, Kiyoshi
Ohtani, Minako
Yamanoue, Takao
Sera, Akihiko
Wada, Seishi
Inoue, Takeshi
キーワード
Pediatric thermal injury
Respiratory failure
Fluid resuscitation
NDC
医学
抄録(英)
We evaluated the accurate fluid requirement to prevent respiratory failure during the postresuscitation period in the resuscitation of massively burned children without inhalation injury. Forty-nine children were treated by similar fluid resuscitation and physiologic support protocols. Using a retrospective chart review, the children were divided into three groups as follows: Group N (no lung injury, n = 33, 41.4 ± 18. 7%TBSA burned), Group M (mild-to-moderate lung injury, n = 11, 73.7 ± 17.1%TBSA burned) and Group S (severe lung injury, n = 5, 67.2 ± 16.6%TBSA burned). Information about fluid resuscitation during the first 24 hr post-injury was collected and compared among the three groups. There was no significant difference in the hourly urine output and the resuscitation volume estimated by body weight and burn size among the groups. The volumes estimated by ml/kg/%TBSA burned were 7.0 ml/kg/%TBSA burned, 8.0 ml/kg/%TBSA burned, and 9.4 ml/kg/%TBSA burned in Groups N, M, and S, respectively. According to the fluid volume estimated by the burn index CBI; 1/2 of% second-degree burns plus % third-degree burns), the volumes were 13.8 ± 4.0ml/kg/BI, 14.4 ± 4.4ml/kg/BI, 18.8 ± 3.7ml/kg/BI in Groups N, M, and S, respectively (Group N < Group S, p < 0.05). There was a significant positive correlation between the maximum respiratory index (AaDOiPaO2) during the first week and the initial total volume administered (ml/kg/BI). These findings indicated that the fluid requirements to prevent postresuscitation respiratory failure in massively burned children might be estimated according to the depth of burned area in addition to body weight and burn size.
掲載誌名
Hiroshima Journal of Medical Sciences
50巻
2号
開始ページ
41
終了ページ
45
出版年月日
2001-06
出版者
Hiroshima University Medical Press
ISSN
0018-2052
NCID
言語
英語
NII資源タイプ
紀要論文
広大資料タイプ
学内刊行物(紀要等)
DCMIタイプ
text
フォーマット
application/pdf
著者版フラグ
publisher
部局名
医歯薬学総合研究科
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