Zeitschrift für Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft für Kinderchirurgie = Surgery in infancy and childhood
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Complications of central venous catheterizations are divided into immediate or early complications such as haematoma, pneumothorax and haemothorax, and late complications such as infection and venous thrombosis. One of the rare but life-threatening complications of central venous catheterization is pericardial tamponade. We review the literature and add an additional case, the first reported in a newborn infant.
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The first chapter is dedicated to the frequency and the prognosis of burn trauma, and to the general management of the patient. The second part deals with the pathophysiological basis of the problem and with some controversial facts. The third chapter is a survey of inhalation injury and of electrical burns.
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Hypertrophic scars and contractures following 3rd degree burns originate in an excessive production of myofibroblasts from the granulation tissue. Early tangential excision and grafting helps in fighting the multiplication of these cells and hence some later complications. ⋯ Corrective surgery is accomplished by means of skin grafts or flaps. The authors' own methods are described for reconstructing destroyed organs such as scalp, eyebrows, eyelids, lips, chin, ears and nose.
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Comparative Study
[Comparative in vitro tests of silver sulphadiazine and zinc sulfadiazine swabs on burn patients].
The antibacterial effect of silver sulphadiazine is compared with that of zinc sulphadiazine in three in vitro tests with 14 different bacterial colonies. Our results demonstrate that silver sulphadiazine is more efficient than zinc sulphadiazine as an antibacterial agent. As the local application of zinc promotes and accelerates wound healing, we suggest to apply first silver sulphadiazine and then zinc sulphadiazine in combined local therapy of burn wounds.
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Cases of three infants and 3 children with clinically manifest generalized bleeding due to a consumption coagulopathy disorder (CC) after severe head injury are described. Despite invasive neurointensive care for normalization of intracranial pressure and coagulation factor replacement therapy, all patients died due to severe brain swelling with uncal and brainstem herniation. Abnormal bleeding in a comatose, head-injured patient with laboratory finding compatible with CC appears to be an expression of a very severe injury with poor prognosis.