一位燒傷面積達 40% 的病患入院。在燒傷急症期，哪項介入是首要重點？

燒傷後急性期（Emergent Phase，前 24-48 小時）的首要目標是預防燒傷休克。因燒傷導致血管通透性劇增，大量血漿滲出血管進入組織間隙，導致循環血容積銳減。必須嚴格執行輸液復甦（Fluid resuscitation），以維持組織灌流。疼痛與傷口處理固然重要，但在休克風險面前，維持生命循環是絕對優先。

The primary goal during the emergent phase of burn injury (the first 24-48 hours) is to prevent burn shock. The marked increase in vascular permeability caused by burns allows a large amount of plasma to leak out of the vascular space into the interstitium, sharply reducing circulating blood volume. Aggressive fluid resuscitation must be strictly performed to maintain tissue perfusion. Pain control and wound care are important but, in the face of shock risk, maintaining circulation is the absolute priority.