Department of Plastic Surgery and Hand Surgery, DRK-Kliniken Berlin Westend, Humboldt Universität Berlin, Spandauer Damm 130, 14050 Berlin, Germany.
Surgeon. 2010 Apr;8(2):101-4. doi: 10.1016/j.surge.2009.10.001. Epub 2009 Dec 31.
Intensive care and the surgical therapy of burn injuries have made significant advancements. The immediate care on the scene of the accident, however, is not uniform. There is no 'golden hour' which will decide the further clinical process. The acute estimate of the percentage of the extent of the burns is of little relevance and does not facilitate the admission to a burn unit. The emergency calculation of the volume of intravenous infusion is not advisable. The choice of transport has no discernible impact on the prognosis of the patient. Avoiding hypothermia and perceiving associated trauma can be of crucial prognostic importance in the pre-hospital care of burn patients. Detailed knowledge about the circumstances of the injury is of exceeding importance.
烧伤的重症监护和外科治疗已经取得了重大进展。然而,事故现场的即刻救治并不统一。没有“黄金时间”可以决定进一步的临床进程。急性烧伤面积百分比的估计意义不大,也不能促进烧伤患者入住烧伤病房。静脉输液量的紧急计算是不可取的。运输方式的选择对患者的预后没有明显影响。在烧伤患者的院前救治中,避免低体温和察觉相关创伤可能具有至关重要的预后意义。详细了解受伤情况极其重要。