Legemate C M, Hop M J, Nieuwenhuis M K, Middelkoop E, van Baar M E, van der Vlies C H
*Namens de Vereniging Samenwerkende Brandwondencentra (VSBN).
Ned Tijdschr Geneeskd. 2018;162:D2374.
Early accurate assessment of burn depth is important to determine the optimal treatment of burns (conservative versus surgery). Laser Doppler imaging (LDI) is a technique that allows accurate measurement of burn depth by measuring dermal perfusion. Although it has been demonstrated that LDI led to faster decisions as to whether or not to operate, this has not lead to shorter wound healing time or cost savings in Dutch burn care. LDI is used in all Dutch burn centres. In case of doubt about the depth of a burn in primary or secondary care, referral to a burn centre is advisable.
早期准确评估烧伤深度对于确定烧伤的最佳治疗方法(保守治疗与手术治疗)至关重要。激光多普勒成像(LDI)是一种通过测量真皮灌注来准确测量烧伤深度的技术。尽管已经证明LDI能更快地决定是否进行手术,但这并未缩短荷兰烧伤护理中的伤口愈合时间或节省成本。荷兰所有烧伤中心都使用LDI。在初级或二级护理中,若对烧伤深度存在疑问,建议转诊至烧伤中心。