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目的 :观察糖皮质激素在小儿烧伤早期防治休克的意义。方法 :治疗 60例小儿烧伤患儿 ,常规抗休克 ,3 8例于伤后 6～12h应用氢化考的松 ,观察患儿的神志、生命体征及并发症。结果 :应用激素患儿病情稳定 ,神志好转 ,未发生休克和并发症 ;未用激素患儿休克度过不平稳 ,并发症较多。结论 :激素在小儿烧伤早期应用有利于烧伤休克防治 ,能减少并发症 ,应早期、适量、短疗程应用。
Objective: To observe the significance of glucocorticoid in preventing and treating shock in early stage of pediatric burn. Methods: 60 cases of pediatric burns were treated with conventional anti-shock and 38 cases were treated with hydrocortisone 6 to 12 hours after injury. The signs, vital signs and complications of the children were observed. Results: The application of hormones in children with stable condition, consciousness improvement, no shock and complications; children without hormones over unstable shock, more complications. Conclusion: The application of hormones in the early stage of pediatric burn is good for the prevention and treatment of burn shock, which can reduce the complications and should be applied early, moderately and shortly.