Thirty-eight children with burns of more than 50% TBSA were treated between march,1970 and Feb,1985.The incidence of burn shock was 94.7%.The authors state that both shock (34.5%) and infection (38.4%) are the important causes of death in severe burns,so the anti-shock treatment should be initiated within an hour of injury. The average survival rate was 41.3% in children with burn of 50-70% of body surface and the 7-12yr group had a higher survival rate (66.2%).In these cases the amount of fluid infusion during the second 24 hours was about 75 per cent of the finst 24 hours.In treating children with respiratory burns fluid infusion should not be restricted.Problems involved the hypertension during the early stage and the treatment of "refractory shock" are discussed.