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Clinical Assessment of Burn Area

作者：Rong Xiang Xu 出版社：KARGER 發(fā)行日期：In 2004

In 1961, Wellace advanced the generally accepted “rule of nines” which, while simple and practical, is not very accurate. The “hand method”, which uses the patient’s hand as a standard for measurement (i.e. the surface area covered by the patient’s hand with fingers closed being roughly 1 % of the whole body surface) is very useful for measurement of small or multiple scattered areas.

The head and neck is 9 % of the area of the whole body, two upper limbs is 18% (29), two lower limbs (including buttock) is 46% (59+1), the front and the back of the trunk (including perineum) is 27 % (39). This proportion may be different according to the patient’s age and gender. Therefore, some more accurate methods have been put forward. In 1970, “Chinese rule of nines” was named, this is based on the actual proportion of body surface area of Chinese people, and is now popularly applied (Table 1). In China, there is another rule named the “rule of tens” which considers the head and the neck area as 10 %, upper limbs 210 %, trunk (including perineum and buttock) 310 % and lower limbs 410 %. This method is also very simple and easy to apply.