Estimating the fluid supplement amount of burn patients with escharectomy in shock stage by multivariate analysis

Objective: To estimate the amount of fluid supplement of burn patients with escharectomy during shock stage by multiple regression with retrospective data Methods:The clinical data of 30 major burn patients, who were treated by escharectomy during shock stage from 1991 to 1998, were collected Various variables selected according to the clinical and laboratory examinations of patients on admission, were gathered to process the multiple regression for estimating the fluid supplement before and after operation At the same time the fluid supplement calculated by the formula of the Third Military Medical College was compared to that of our regression Results:According to our regression, the fluid supplement of burn patients who will be carried escharectomy during shock stage may be estimated by the burn area, heart rate, urine amount, hemoglobin and HCT of patients The coefficient calculated by our regression was 1 757, which was higher than that of the formula of the Third Military Medical College,but similar to that of our clinical application, 1 8 Conclusion:The advantage of estimating the amount of fluid supplement in burn patients with escharectomy during shock stage by regression is to consider the various factors related to the circulation of patients Such method can estimate the amount of fluid supplement more comprehensively and facilitate the clinical doctors to master the fluid supplement of burn patients during shock stage