临床实践中的烧伤公式。
A burn formula in clinical practice.
作者信息
Griffiths R W, Laing J E
出版信息
Ann R Coll Surg Engl. 1981 Jan;63(1):50-3.
In a retrospective review of the 10-year period 1969-78 the intravenous plasma loads given to patients admitted to one burn centre were studied and compared with the volumes predicted by the formula used at that centre. Of 1728 patients admitted 342 (19.8%) received intravenous resuscitation with plasma. The formula appeared to be a good empirical guide to transfusion needs in the 36 h after burning. Patients with burns in excess of 45% body surface area (BSA), and particularly children, were likely to require more fluid than that indicated by the formula estimate. However, as burns in excess of 50% BSA are uncommon (50/1728 admissions) it seems reasonable to use a formula which is a guide to the probable needs of most patients while accepting the clinical response as the best means of assessing the actual fluid need of each patient, especially those with extensive injury.
在对1969年至1978年这10年期间的回顾性研究中，对一家烧伤中心收治患者的静脉血浆输入量进行了研究，并与该中心使用的公式预测的量进行了比较。在1728例收治患者中，342例（19.8%）接受了血浆静脉复苏。该公式似乎是烧伤后36小时输血需求的一个很好的经验性指导。烧伤面积超过45%体表面积（BSA）的患者，尤其是儿童，可能需要比公式估算量更多的液体。然而，由于烧伤面积超过50%BSA的情况并不常见（1728例入院患者中有50例），使用一个能指导大多数患者可能需求的公式似乎是合理的，同时将临床反应作为评估每个患者实际液体需求的最佳方法，尤其是那些伤势严重的患者。
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