Jose Rajive Mathew, Roy Deb Kumar, Vidyadharan Ramesh, Erdmann Matt
Department of Plastic Surgery, University Hospital of North Durham, North Road, Durham, DH1 5TW UK.
Burns. 2004 Aug;30(5):481-2. doi: 10.1016/j.burns.2004.01.019.
In estimating small areas of burns, it is traditionally taught that the patient's palm is 1% of the body surface area. Whether the palm means the palmar surface of the whole hand or palm excluding the fingers, has not been very clear and is a source of confusion to many junior doctors. The ATLS teaching has been in contradiction to the evidence from literature and hence we undertook a study to examine the evidence and practices regarding this issue. It was done through a literature search, telephonic interviews and a review of Web-pages related to burns area estimation. The results highlighted the existing confusion on the topic and the need for educating junior doctors.
在估算小面积烧伤时，传统观点认为患者的手掌面积占体表面积的1%。但手掌究竟是指整个手部的掌面，还是不包括手指的手掌部分，一直不是很明确，这给许多初级医生带来了困惑。美国创伤生命支持（ATLS）的教学内容与文献证据相矛盾，因此我们开展了一项研究，以审视关于这个问题的证据和实践情况。研究通过文献检索、电话访谈以及对烧伤面积估算相关网页的审查来进行。结果凸显了该主题存在的困惑以及对初级医生进行教育的必要性。
