医学
烧伤
总体表面积
体格检查
外科
激光多普勒测速
植皮术
放射科
伤口愈合
血流
作者
A.J.A. Holland,H Martin,Danny Cass
出处
期刊:Burns
[Elsevier]
日期:2002-02-01
卷期号:28 (1): 11-17
被引量:128
标识
DOI:10.1016/s0305-4179(01)00064-x
摘要
The ability of laser Doppler imaging (LDI) to evaluate burn depth in children was investigated. Fifty-seven patients were prospectively studied over a 10-month period. Each patient was clinically assessed, photographed and independently scanned between 36 and 72 h of the burn. Patients were reviewed until wound healing had occurred within 12 days or skin grafting had been performed. The median age was 1 year and 10 months (range 5 months to 15 years and 8 months). The median body surface area burnt was 7.0% (range 0.5-30%). In 30 patients, the burn did not heal within 12 days, 17 of which were grafted. Clinical examination correctly determined 66% of deep partial or full thickness burns between 36 and 72 h of injury compared to 90% using LDI. The LDI was also more specific; correctly diagnosing 96% of superficial partial thickness burns as opposed to 71% on clinical examination. Moderate degrees of movement did not appear to limit the accuracy of the scan.
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