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 · Mar 1991
[An experimental study of chemical debridement of full-thickness burn in rabbits by N-acetylcysteine].
N-acetylcysteine, a mucolytic expectorant, was used for debridement of a full-thickness burn in rabbits. The drug was applied 24h postburn and repeated once a day. ⋯ The debriding action of the drug is probably depolymerization of heat-denatured extracellular proteins (mainly denatured collagen and proteoglycans), disrupting specific linkage and lowering the molecular weight of eschar molecules. Acidity of the drug also promotes debriding process.
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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.
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Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi · Mar 1989
[A clinical analysis of characteristics of morbidity and mortality in 2630 burned patients].
According to the analysis of 2630 burned patients, it was suggested that May, June, July and August were the periods of the highest incidence of burn injury in Beijing. There was a higher morbidity of burn in group of age from 20 to 30 (34.18%). This report also showed that heat injury was the main cause of burn. ⋯ The incidence of sepsis was 2.74%. The burn mortality in 1965 was the highest. LA50 of TBSA in this group was 82.81%, and LA50 of III degrees burn area was 57.41%.