A series of studies demonstrated that myocar-dial damage and cardiac dysfunction occur immediately after se-vere burn even before the intervention of significant reduction in blood volume as a result of increased capillary permeability. Be-cause the heart is the power organ of the circulation, such myo-cardial damage and cardiac dysfunction lead not only to cardiac deficiency, it is also a precipitating factor of burn shock and is-chemic/hypoxic injury. Therefore, we nominate this phenome-non as " shock heart". New measures including " volume re-placement" plus " dynamic support" proposed according to this new recognition is of important clinical significance for burn shock resuscitation and prevention and treatment of ischemic/hy-poxic injury, as well as reducing organ complications resulting from insufficient or excessive fluid resuscitation during early postburn stage.

作者：黄跃生

来源：中华烧伤杂志 2009 年 25卷 3期