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[确定烧伤深度:临床评估与激光多普勒成像]

[Determining burn depth: clinical assessment and laser Doppler imaging].

作者信息

Hop M Jenda, van Baar Margriet E, Nieuwenhuis Marianne K, Dokter Jan, Middelkoop Esther, van der Vlies C H Kees

机构信息

Vereniging van Samenwerkende Brandwondencentra (VSBN), Maasstad Ziekenhuis, Rotterdam, the Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2012;156(31):A4810.

Abstract

Early accurate determination of burn depth is important to determine the optimal treatment of burns. The method most used to determine burn depth is clinical assessment. This is a cheap method, but not the most accurate. Laser Doppler imaging (LDI) is a technique with which a more accurate (>95%) estimate of burn depth can be made by measuring the dermal perfusion. It is hypothesised that the introduction of LDI will lead to quicker decisions as to whether or not to operate, possibly leading to a shorter length of hospital stay and lower medical costs. To test this hypothesis, a multicentre randomized controlled trial is presently being conducted in the Dutch burn centres.

摘要

早期准确确定烧伤深度对于确定烧伤的最佳治疗方法至关重要。最常用于确定烧伤深度的方法是临床评估。这是一种成本低廉的方法,但并非最准确的方法。激光多普勒成像(LDI)是一种通过测量真皮灌注来更准确(>95%)估计烧伤深度的技术。据推测,引入LDI将导致关于是否进行手术的决策更快,可能会缩短住院时间并降低医疗成本。为了验证这一假设,荷兰烧伤中心目前正在进行一项多中心随机对照试验。

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