火灾创伤受害者的死亡概率：纳入吸入性损伤的修正方程。
Mortality probability in victims of fire trauma: revised equation to include inhalation injury.
作者信息
Clark C J, Reid W H, Gilmour W H, Campbell D
出版信息
Br Med J (Clin Res Ed). 1986 May 17;292(6531):1303-5. doi: 10.1136/bmj.292.6531.1303.
Abstract
There are no clear guidelines on the early diagnosis of injury due to inhalation of smoke. A clinical scoring system in the form of a previously prepared questionnaire may be used in the accident and emergency department by staff who are inexperienced in the management of inhalation injury. By quantifying injury due to smoke inhalation, its contribution to mortality in a large group of fire victims was established and a revised mortality probability equation derived using age, percentage surface area of the burn, and extent of inhalation injury. This mortality probability equation may be used to divide patients into risk categories for early intensive care management and allows the comparison of mortality data between accident and emergency units receiving varying numbers of patients with injuries due to burns and smoke inhalation.
摘要
对于烟雾吸入所致损伤的早期诊断，目前尚无明确的指导方针。在事故和急诊科，缺乏吸入性损伤管理经验的工作人员可使用预先准备好的问卷形式的临床评分系统。通过对烟雾吸入所致损伤进行量化，确定了其在一大群火灾受害者死亡中的作用，并使用年龄、烧伤表面积百分比和吸入性损伤程度推导出了一个修订后的死亡概率方程。这个死亡概率方程可用于将患者分为不同风险类别，以便进行早期重症监护管理，还能比较接收不同数量烧伤和烟雾吸入损伤患者的事故和急诊科之间的死亡率数据。
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