Zhonghua shao shang za zhi = Zhonghua shaoshang zazhi = Chinese journal of burns
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Zhonghua Shao Shang Za Zhi · Jun 2013
Review[Advances in the research of fluid resuscitation for burn shock].
The aim of fluid resuscitation is to restore tissue perfusion, ameliorate cellular injury, increase tissue perfusion and oxygenation, and improve end-organ functions. Many researches in the field of fluid resuscitation strategy have been made in the last decade, but vigorous debate on optimal method of resuscitation still exists. The hypotensive resuscitation strategy is particularly applicable in patients with uncontrollable hemorrhage, whereas, it is uncertain whether the theory could be used in burn shock management. ⋯ Caution should be exercised when using higher concentrations of artificial colloid and lactated Ringer's solution, of which some adverse effects have been observed. Along with the increasing use of novel hemodynamics monitoring in intensive care, parameters including stroke volume variation (SVV), intrathoracic blood volume index (ITBVI), and cardiac index (CI) have been examined as indexes of resuscitation endpoint. However, further studies should be made when applying SVV, ITBVI, and CI in guiding fluid resuscitation in burns.
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Zhonghua Shao Shang Za Zhi · Jun 2013
[Reproduction of a mouse model of deep partial-thickness scald and determination of hypoxia in the wound].
To reproduce a stable mouse model of deep partial-thickness scald and to determine the hypoxia status in the wound. ⋯ Deep partial-thickness scald model can be reproduced in (20.0 ± 1.0) g male BALB/c mice by scalding with 92 °C hot steam for 4 s, and the depth of wound becomes stable 24 h after scalding. Hypoxia can be found in the scalded wounds, especially in the marginal zones of the wounds.
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Zhonghua Shao Shang Za Zhi · Jun 2013
Comparative Study[Effects of resuscitation with different kinds of colloids on pulmonary edema in swine in shock stage of severe burn injury].
To observe and compare the effects of natural colloid and artificial colloid on pulmonary edema of swine during shock stage of severe burn injury. ⋯ The natural colloid or artificial colloid (hydroxyethyl starch 130/0.4) applied during shock stage had similar effects on pulmonary edema in swine with severe burn.
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Zhonghua Shao Shang Za Zhi · Jun 2013
[Clinical study on hematocrit used as a predictor for evaluation of resuscitation effect in the early shock stage after burn].
To explore the clinical significance of hematocrit used as a predictor for diagnosis and evaluation of resuscitation effect in the early shock stage after burn. ⋯ Hematocrit can indirectly reflect resuscitation effect in the burn shock stage. Whether hematocrit level can be lowered to 0.45-0.50 during the first 24 hours after burn may be an important index for evaluation of fluid resuscitation effect in the early shock stage after severe burn.
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Zhonghua Shao Shang Za Zhi · Jun 2013
[Expression of aquaporin-1 in myocardium of rats in the early stage after scald and its relationship with myocardial edema].
To investigate the changes in aquaporin-1 (AQP-1) expression in myocardium of scalded rats in early stage of a burn injury, and to analyze its relationship with myocardial edema. ⋯ AQP-1 may play a key role in the development of myocardial edema in rats with scald.