A practical method for the calculation of wound water loss in burn patients.
- Author:
Ming-Liang ZHANG
1
;
Hao WANG
;
Hui CHEN
;
Xu CHEN
;
Guang-Feng ZHOU
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Algorithms; Body Water; metabolism; Burns; metabolism; physiopathology; Female; Humans; Male; Middle Aged; Water Loss, Insensible; Water-Electrolyte Imbalance
- From: Chinese Journal of Burns 2005;21(1):49-51
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate a calculating method of wound water loss (WWL) in hospitalized burn patients.
METHODSEighty-five adult burn patients with total burn area over 50% were enrolled in the study. The WWL formula after shock stage (after 3rd postburn day) was given as: WWL (ml/%/kg/24 h) = [input (ml/24 h)-urine output (ml/24 h)-500 ml] / actual burn wound area(%) / body weight (kg). The result was compared with that determined by other formulas such as Davies, S.M.S.P and Lamke and palm rule.
RESULTSThe calculated daily WWL in burn patients after shock stage was found out to be 0.9 +/- 0.1 ml/%/kg/24 h by this method. This figure is comparable with that calculated by several different methods. Palm rule could be simply applied in the patients with body weight around 60 kg.
CONCLUSIONThis method and palm rule were proved to be simple and practical for the calculation of WWL in burn patients, which could be applied in clinical work.
