Alvarado Ricardo, Chung Kevin K, Cancio Leopoldo C, Wolf Steven E
Department of Surgery, University of Texas Health Science Center-San Antonio, Texas, USA.
Burns. 2009 Feb;35(1):4-14. doi: 10.1016/j.burns.2008.03.008. Epub 2008 Jun 9.
Current guidelines outlining the resuscitation of severely burned patients, in the United States, were developed over 30 years ago. Unfortunately, clinical burn resuscitation has not advanced significantly since that time despite ongoing research efforts. Many formulas exist and have been developed with the intention of providing appropriate, more precise fluid resuscitation with decreased morbidity as compared to the current standards, such as the Parkland and modified Brooke formulas. The aim of this review was to outline the evolution of burn resuscitation, while closely analyzing current worldwide guidelines, adjuncts to resuscitation, as well as addressing future goals.
美国目前概述严重烧伤患者复苏的指南是30多年前制定的。不幸的是，自那时以来，尽管一直在进行研究，但临床烧伤复苏并没有显著进展。有许多公式已经被开发出来，目的是与当前标准（如帕克兰公式和改良布鲁克公式）相比，提供更合适、更精确的液体复苏，同时降低发病率。这篇综述的目的是概述烧伤复苏的演变，同时仔细分析当前全球指南、复苏辅助措施以及探讨未来目标。
