Bước đầu mô tả đặc điểm một số chỉ số siêu âm tim ở bệnh nhân bỏng nặng trong 24 giờ đầu sau bỏng

Abstract

Objectives: Initial description of some echocardiographic indices in the first 24 hours postburn in patients with severe burns.
Subjects and Methods: A prospective, descriptive, cross-sectional study was conducted on 15 patients with severe burns at the time of their admission to Le Huu Trac National Burn Hospital, from September 2023 to July 2024.
Results: The average age of the studied patients was 45.27 ± 7.21, male accounted for 53.33%. The average total burn area was 24.73 ± 6.18% TBSA, and the average deep burn area was 2.93 ± 6.31% TBSA. 8 out of 15 patients (accounting for 53.33%) had received fluid resuscitation. The majority of patients with an increased heart rate, 10 out of 15 patients (accounting for 66.67%) were in the group of patients who had not received fluid resuscitation before the ultrasound exam. 100% of the patients who had not received fluid resuscitation showed reduced cardiac output, stroke volume, and estimated central venous pressure.
Conclusion: Most patients had increased heart rate, decreased cardiac output, stroke volume; and estimated central venous pressure was low in patients who had not received fluid resuscitation.