Muir I
Intensive Care Med. 1981 Jan;7(2):49-53. doi: 10.1007/BF01687260.
Loss of fluid from the blood plasma and subsequent hypovolaemia is the central feature of shock in burning injuries and restoration of blood volume by intravenous transfusion remains the mainstay of treatment. The rate of loss of fluid bears a relationship to the extent of the burn and by use of a formula it is possible to predict the rate of loss at a particular time and the total quantity of fluid necessary. Various different formulae are discussed and the development of a formula in the Burns Ward of the Mount Vernon Centre for Plastic Surgery is described. It is emphasised that the formula is only a guide and the necessity for repeated clinical examination of the patient is stressed. Our reasons are given for the use of reconstituted dried human plasma as the main transfusion fluid.
血浆液体丢失及随后的血容量过低是烧伤休克的核心特征，通过静脉输血恢复血容量仍然是主要治疗方法。液体丢失速率与烧伤程度相关，使用公式可以预测特定时间的液体丢失速率以及所需的液体总量。文中讨论了各种不同的公式，并描述了弗农山整形外科中心烧伤病房一个公式的制定过程。文中强调该公式只是一个指导，并着重指出对患者进行反复临床检查的必要性。我们给出了使用冻干人血浆作为主要输血液体的理由。
