Zhonghua zheng xing shao shang wai ke za zhi = Zhonghua zheng xing shao shang waikf [i.e. waike] zazhi = Chinese journal of plastic surgery and burns / [Chung-hua cheng hsing shao shang wai k'o tsa chih pien chi wei yüan hui pien chi]
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Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi · Jun 1989
[Early treatment of third degree burns of the entire hand].
Treatment and result of burned total hand was reported here in 4 hands (4 cases). According to the treatment and anatomical characteristics, burned hand was divided into 4 areas: dorsum of hand, dorsum of finger, thenar-wrist area and volar-digit area. The treatment of total hand in third degree burns included emergency escharotomy of hand and digits, early escharotomy and immediate skin grafting on the dorsum of hand, thenar-wrist and volar-digit area. ⋯ Followed up 4 hands with good results. And only 5 distal phalanges were loss in 20 digits. But in previous cases this kinds of digits were often amputated with poor results.
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Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi · Jun 1989
[An analysis of death in older burn patients].
Between August 1976 and July 1986, 110 burn patients over the age of sixty-five were admitted to the Burn Unit of Ruijin Hospital. The average extent of burn was 19.9% TBSA (0.5-90%), with 14.7% full thickness (0.5-90%). ⋯ The analysis of causes of death in elderly burn patients suggested that the preexisting cardiopulmonary diseases and inhalation injury appeared particularly important since pneumonia was considered as a primary cause of death in 13 patients, myocardial infarction in 2, congestive heart failure in 2. The resuscitation, early excision of deep burn wound and grafting, prevention and treatment of other complications, and nutritional supplement can decrease the mortality of elderly burn patients.