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烧伤计算器:一份关于液体复苏的简易拟议指南。

The Burns Calculator: a simple proposed guide for fluid resuscitation.

作者信息

Milner S M, Hodgetts T J, Rylah L T

机构信息

Chemical and Biological Defence Establishment, Salisbury, Wiltshire.

出版信息

Lancet. 1993 Oct 30;342(8879):1089-91. doi: 10.1016/0140-6736(93)92067-4.

Abstract

Most burn casualties will receive their primary care in an emergency department. These departments are staffed by doctors with a varying degree of supervision, and their experience of the treatment of burns is often very modest. Evidently there is a need for a simple method to calculate the fluid requirements of these patients. The Burns Calculator is designed for use during the first eight hours post-injury and is based upon the Parkland resuscitation formula, using only Hartmann's solution BP. It is expected that the patient will have received expert aid by the end of this time. Values for children have been predetermined using body surface area nomograms. The calculator will assist the non-specialist to determine the correct amount of fluid needed to resuscitate a burned patient, and perhaps decrease morbidity and mortality associated with this injury.

摘要

大多数烧伤患者会在急诊科接受初级护理。这些科室配备的医生接受的监督程度各不相同,他们治疗烧伤的经验往往很有限。显然,需要一种简单的方法来计算这些患者的液体需求量。烧伤计算器设计用于受伤后的头八个小时,基于帕克兰复苏公式,仅使用哈特曼氏溶液(平衡盐溶液)。预计在此期间结束时患者将已获得专家援助。儿童的数值已使用体表面积诺谟图预先确定。该计算器将帮助非专科医生确定烧伤患者复苏所需的正确液体量,并可能降低与该损伤相关的发病率和死亡率。

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