| Experience in the treatment of patients with burns covering more than 90% TBSA and full-thickness burns exceeding 70% TBSA. | |
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MedLine Citation:
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PMID: 12376237 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The objective of this study was to explore our experience in the treatment of serious burn patients (total burn surface area [TBSA] > 90% and full thickness burns > 70% TBSA). METHODS: Thirty patients who were admitted to our unit over a period of 12 years were analyzed retrospectively; 23 cases (76.7%) were successfully treated. RESULTS: There were seven out of 12 cases (58.3%) in the first 5 years and 16 out of 18 cases (88.9%) in the latter 7 years of the study period. CONCLUSIONS: It is concluded that: 1) giving electrolyte-free fluids (around 3700 ml) and the maintenance of hourly urine output at 70 ml or more appear to be beneficial in resuscitation therapy; 2) the first operative procedure should be undertaken early, at about the third day after injury; 3) a higher percentage area of eschar to be excised in the first operation is encouraged and eschar excision of up to 40% or more is preferable; 4) controlling the area of exposed wound under 5% in the entire therapeutic course is essential in the prevention of burn infection; 5) emphasis should be placed on the vital role of a dehumidifier in reducing the incidence of fungal infection; and 6) early enteral nutrition with the use of growth hormone in correcting the nutritional state of the patient is also emphasized. |
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Authors:
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Yi-Ping Zhou; Jia-Liang Ren; Wei-Ming Zhou; Lei Yang; Yong-Heng Wu; Jing Chen; Jia-Han Wang |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Asian journal of surgery / Asian Surgical Association Volume: 25 ISSN: 1015-9584 ISO Abbreviation: Asian J Surg Publication Date: 2002 Apr |
Date Detail:
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Created Date: 2002-10-11 Completed Date: 2002-11-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8900600 Medline TA: Asian J Surg Country: China |
Other Details:
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Languages: eng Pagination: 154-6 Citation Subset: IM |
Affiliation:
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Burn Unit, Nanfang Hospital, First Military Medical University, Mei Hwa Yuan, Guangzhou 510515, Peoples Republic of China. nfyybu@fimmu.edu.cn |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Body Surface Area Burns / therapy* Female Humans Male Retrospective Studies Trauma Severity Indices |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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