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 · Jul 1996
[Multiple organ failure in burn patients combined with inhalation injury].
To define the clinical features and prevention and treatment of multiple organ failure (MOF) developed in burn patients combined with inhalation injury, a retrospective clinical study on 4834 burn patients admitted into the Institute from Jan, 1977 to Aug, 1991, in which 366 cases sustained inhalation injury, was performed. It was shown that postburn MOF occurred in 115 cases among the 4834 victims, with an incidence of 2.38%. However, of the 366 cases with inhalation injury 76 were complicated with MOF, an incidence as high as 20.77%, approximately occupying two-thirds of the postburn MOF. ⋯ More respiratory complications, higher incidence of lung and cardiac failure as well as severe shock were observed. Moreover, hypoxemia and acidosis were found to be more severe in MOF patients with inhalation injury than those without. It is suggested that good control of inhalation injury and burn shock, as well as the ischemic-hypoxic damage of visceral tissues might be of great importance for the prevention and treatment of MOF in burn patients combined with inhalation injury.
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Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi · May 1996
[Early postoperative hypoxemia in infants, children and adults undergoing elective plastic surgery].
Seven hundred ASA-class-1 patients undergoing elective plastic surgery were selected to study the effect of age on early postoperative hypoxemia with a pulse eximeter for continuous monitoring of arterial oxygen saturation (SpO2) in the postanesthesia recovery room. The patients were divided into four groups: group 1, 72 infants aged less than one year; group 2, 120 children aged from one to three years; group 3, 364 children aged over three years; and group 4, 144 adults aged from 18 to 58 years. ⋯ The incidences of early postoperative hypoxemia in the postanesthesia recovery room were 44.4% in group 1, 31.7% in group 2, 17.3% in group 3 and 8.3% in group 4. Early postoperative hypoxemia occurred most commonly within 40 min. in infants and within 15 min. in children aged over one year and adults.
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Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi · Nov 1995
[The effect of different topical agents on pseudomonas infection of burn wound].
48 Wistar rats were scalded resulting in 15% TBSA full-thickness burn. Pseudomonas aeruginosa (10(9)/ml was inoculated to the wounds. The rats were divided into 6 groups. 5 different topical agents were separately applied to the wounds constituting 5 groups, and no drug was used in control group. Through observing the appearance of wound, the quantity of bacteria in the subeschar tissue and histo-pathological changes, we confirmed that AgSD-ZnSD-A cream was a satisfactory topical agent.
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Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi · Nov 1995
[Ultrastructural changes in pulmonary microvascular damage in rats inflicted with burn, blast and combined burn-blast injury].
The pathological changes in pulmonary microvasculature in rats inflicted with overpressure blast, 15% third degree burns and combined burn-blast injury, respectively, were studied with electron microscopy and ultrastructural morphometry. Results indicated that the pathological changes in pulmonary microvasculature in 15% third degree burns were slight, and mainly restricted to ultrastructural level. While in severe blast and burn-blast injuries, the damage of pulmonary microvasculature including endothelial swelling and regeneration and dispersal of arteriole wall structure, was prominent. ⋯ Apart from vessel structural damages, arteriole constriction and capillary closure were also observed during 2 to 4 h postinjury. The vessel damage and dysfunction were more severe in combined injury than in blast injury alone. The mechanisms needed to be studied further.
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Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi · May 1995
[The characteristics of inhalation injury and pulmonary infection in burn patients and the influence on their mortality].
940 patients with thermal injury during the past 14 years were reviewed. Of them, inhalation injury was diagnosed in 75 patients, including 15 mild injury who all survived, 25 moderate injury, of whom 13 died with a mortality rate of 52.0% and 35 severe injury, of whom 31 died with a mortality rate of 88.6%. The data showed that 70% of burn that caused inhalation injury occurred in a closed space and 96% of which also caused facial injury. ⋯ The time and incidence of pulmonary infection in the patients with inhalation injury was earlier and higher than that in those without inhalation injury (P < 0.01). With similar burn area and age, the risk of death in the patients with inhalation injury was 17.2 times of the patients without inhalation injury (P < 0.001). Pulmonary infection further increased mortality of the patients (P < 0.001).