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Burns, including thermal injury最新文献

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Exposure-Eusol treatment for burn wounds. 暴露- eusol治疗烧伤创面。
Burns, including thermal injury Pub Date : 1985-04-01 DOI: 10.1097/00004630-198605000-00026
A. Shah
{"title":"Exposure-Eusol treatment for burn wounds.","authors":"A. Shah","doi":"10.1097/00004630-198605000-00026","DOIUrl":"https://doi.org/10.1097/00004630-198605000-00026","url":null,"abstract":"Data from 45 adult patients with flame burns covering up to 20 per cent EAB (Group 1), 21-40 per cent (Group 2), and 41-60 per cent (Group 3) are presented. Each group contains 15 patients with 29 females and 16 males, and females had the more extensive burns. All the patients were treated by the exposure method followed by Eusol dressings beginning between post burn days 5 and 7, i.e. as soon as infection was detected or the eschar had started separating. Eusol is an effective antibacterial agent and also assists in slough separation. It appears to be inactive against living tissues and helps obtain healthy granulation tissue. The bed thus created is ideal for grafting. A burn wound up to 40 per cent EAB is suitable for treatment by the exposure-Eusol method. Septicaemia was the common cause of mortality and its incidence was directly related to the extent of injury.","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"73 1","pages":"297-300"},"PeriodicalIF":0.0,"publicationDate":"1985-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85235030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The toxic shock syndrome in burned children. 烧伤儿童的中毒性休克综合征。
Burns, including thermal injury Pub Date : 1985-04-01 DOI: 10.1097/00004630-198609000-00029
J. Frame, M. Eve, M. Hackett, E. Dowsett, A. Brain, D. Gault, A. Wilmshurst
{"title":"The toxic shock syndrome in burned children.","authors":"J. Frame, M. Eve, M. Hackett, E. Dowsett, A. Brain, D. Gault, A. Wilmshurst","doi":"10.1097/00004630-198609000-00029","DOIUrl":"https://doi.org/10.1097/00004630-198609000-00029","url":null,"abstract":"Seven cases of presumed Toxic Shock Syndrome (TSS), occurred in burned children admitted to the Regional Burn Unit at St Andrew's Hospital, Billericay. Four patients died, and three caused concern. 30 per cent of Staphylococcus aureus isolates available for retrospective study were found to be toxin producing. On reviewing children in this age group admitted between September 1982 and April 1984 we feel that a form of TSS has occurred commonly, in some cases where the burned area was less than 5 per cent. Certain recommendations are made.","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"70 1","pages":"234-41"},"PeriodicalIF":0.0,"publicationDate":"1985-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86607388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 81
Prevention of hospital-acquired infections with reference to burns. 与烧伤相关的医院获得性感染的预防。
Burns, including thermal injury Pub Date : 1984-10-01 DOI: 10.1097/00004630-198603000-00066
G. Ducel
{"title":"Prevention of hospital-acquired infections with reference to burns.","authors":"G. Ducel","doi":"10.1097/00004630-198603000-00066","DOIUrl":"https://doi.org/10.1097/00004630-198603000-00066","url":null,"abstract":"","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"20 1","pages":"42-7"},"PeriodicalIF":0.0,"publicationDate":"1984-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80739778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
WHO and the global problem of nosocomial infections. 世卫组织与全球医院感染问题。
Burns, including thermal injury Pub Date : 1984-10-01 DOI: 10.1097/00004630-198603000-00070
G. Antal
{"title":"WHO and the global problem of nosocomial infections.","authors":"G. Antal","doi":"10.1097/00004630-198603000-00070","DOIUrl":"https://doi.org/10.1097/00004630-198603000-00070","url":null,"abstract":"","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"66 1","pages":"48-53"},"PeriodicalIF":0.0,"publicationDate":"1984-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80130185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Fc and complement receptor integrity of polymorphonuclear (PMN) cells following thermal injury. 热损伤后多形核(PMN)细胞Fc和补体受体的完整性。
Burns, including thermal injury Pub Date : 1984-08-01 DOI: 10.1097/00004630-198603000-00059
J. Jeyapaul, L. Mehta, S. Arora, N. Antia
{"title":"Fc and complement receptor integrity of polymorphonuclear (PMN) cells following thermal injury.","authors":"J. Jeyapaul, L. Mehta, S. Arora, N. Antia","doi":"10.1097/00004630-198603000-00059","DOIUrl":"https://doi.org/10.1097/00004630-198603000-00059","url":null,"abstract":"In patients sustaining thermal injury, a sequential study was formulated to evaluate Fc and complement receptor expression of polymorphonuclear cells (PMN). Additionally, the role of factors in burn sera and maturity of PMN cells in the circulation were studied. The salient features of the study were: Marked reduction in Fc receptor expression by the 5th day of injury in both survivors and non-survivors. Thereafter levels gradually increased in survivors, though they were still below the normal range. In non-survivors, the depression was severe and persistent. In contrast to Fc receptor expression, complement receptor integrity was not grossly affected in both survivors and non-survivors. Burn sera collected from survivors on the 5th and 13th post-burn day showed reduction in Fc receptor expression of normal PMN cells, whereas sera obtained a month after the injury exhibited no inhibitory effect. Non-survivors sera inhibited Fc receptor expression of normal PMN cells on 5th, 13th and 21st post-burn days. The appearance, increase and disappearance of immature PMN cells in the circulation was correlated with the clinical progress of the patient. Mechanisms involved in the aberrations and its implications are discussed.","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"54 1 1","pages":"387-95"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78426212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Methodological problems in studies of burn survivors and their psychosocial prognosis. 烧伤幸存者及其社会心理预后研究中的方法学问题。
Burns, including thermal injury Pub Date : 1984-08-01 DOI: 10.1097/00004630-198703000-00027
P. Eyles, G. Browne, C. Byrne, B. Brown, M. Pennock, D. Truscott, R. Dabbs
{"title":"Methodological problems in studies of burn survivors and their psychosocial prognosis.","authors":"P. Eyles, G. Browne, C. Byrne, B. Brown, M. Pennock, D. Truscott, R. Dabbs","doi":"10.1097/00004630-198703000-00027","DOIUrl":"https://doi.org/10.1097/00004630-198703000-00027","url":null,"abstract":"As the psychological adjustment of burn survivors is a subject of increasing interest, 21 studies on psychosocial adjustment to burns in adults and children are reviewed. These studies are commonly cited as a basis for determining the direction of future research. Eight methodological guidelines are applied to these studies of prognosis. Limitations are identified with the major focus of the paper being to assist in the development of more rigorous methodology in order to promote the optimal rehabilitation for burn survivors.","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"116 1","pages":"427-33"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79279576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 15
Early vascular grafting to prevent upper extremity necrosis after electrical burns: II. Experience with wound infection management. 早期血管移植预防电烧伤后上肢坏死的研究。具有伤口感染管理经验。
Burns, including thermal injury Pub Date : 1984-02-01
X W Wang, H C Liu, H H Sang, S I Gai, X X Cheng
{"title":"Early vascular grafting to prevent upper extremity necrosis after electrical burns: II. Experience with wound infection management.","authors":"X W Wang,&nbsp;H C Liu,&nbsp;H H Sang,&nbsp;S I Gai,&nbsp;X X Cheng","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since May 1972, vein grafts have been used to restore circulation in electrical injuries of the upper extremity when the wrist has been the centre of electrical injury associated with obstructed blood supply. Saphenous vein grafts were used in fifteen limbs in fourteen patients where electrical injuries at the wrist threatened complete loss of the hand. Ten of the hands were free of necrosis with motion basically recovered. The other four cases (five limbs) failed in operation for various reasons, resulting in forearm amputations. Clinical practice showed that successful operations depend upon whether secondary infection is effectively controlled, particularly in those who were brought to the hospital late with wound infection and gangrene of the fingers. This paper reviews the measures for controlling postoperative infections in vascular grafting to restore blood flow at the wrist, and the clinical experience gained in treating these patients (six injured limbs of six cases), and preventing amputation. We hope the method could be improved and its use broadened.</p>","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"10 3","pages":"179-83"},"PeriodicalIF":0.0,"publicationDate":"1984-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17486114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Verdoglobinuria phenomenon in severe electrical burns. 严重电烧伤的红蛋白尿现象。
Burns, including thermal injury Pub Date : 1984-02-01
X W Wang, C S Lu, Z M Zhang, C Y Wong, D K Tu, R L Zapata-Sirvent
{"title":"Verdoglobinuria phenomenon in severe electrical burns.","authors":"X W Wang,&nbsp;C S Lu,&nbsp;Z M Zhang,&nbsp;C Y Wong,&nbsp;D K Tu,&nbsp;R L Zapata-Sirvent","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Verdoglobinuria is considered to be an ominous sign of Pseudomonas aeruginosa septicaemia in burns. No report of the survival of a case with this phenomenon could be found in the literature. Stone et al. (1964) first reported verdoglobinuria as an important diagnostic basis for P. aeruginosa septicaemia in burns. A patient with high-tension electrical injury was admitted to our hospital burn department in 1977. Verdoglobinuria occurred. This patient is reported as follows. There was a large defect in the left chest wall with exposure of the heart and secondary P. aeruginosa pyothorax which happened during the early stage of injury. It led to septicopyraemic shock. The patient's urine was examined under ultraviolet rays, the fluorescence was ultrapositive. Verdoglobinuria was positive proof. After active measures were administered, the patient was out of danger from this septicopyraemic shock. The metabolism mechanism of verdoglobin, diagnostic effect of verdoglobinuria on P. aeruginosa septicaemia in severe burns and treatment are discussed.</p>","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"10 3","pages":"188-92"},"PeriodicalIF":0.0,"publicationDate":"1984-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17486115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Verdoglobinuria phenomenon in severe electrical burns. 严重电烧伤的红蛋白尿现象。
Burns, including thermal injury Pub Date : 1983-07-01 DOI: 10.1097/00005373-198307000-00197
X. Wang, C. S. Lu, Z. M. Zhang, C. Y. Wong, D. Tu, R. Zapata-Sirvent
{"title":"Verdoglobinuria phenomenon in severe electrical burns.","authors":"X. Wang, C. S. Lu, Z. M. Zhang, C. Y. Wong, D. Tu, R. Zapata-Sirvent","doi":"10.1097/00005373-198307000-00197","DOIUrl":"https://doi.org/10.1097/00005373-198307000-00197","url":null,"abstract":"Verdoglobinuria is considered to be an ominous sign of Pseudomonas aeruginosa septicaemia in burns. No report of the survival of a case with this phenomenon could be found in the literature. Stone et al. (1964) first reported verdoglobinuria as an important diagnostic basis for P. aeruginosa septicaemia in burns. A patient with high-tension electrical injury was admitted to our hospital burn department in 1977. Verdoglobinuria occurred. This patient is reported as follows. There was a large defect in the left chest wall with exposure of the heart and secondary P. aeruginosa pyothorax which happened during the early stage of injury. It led to septicopyraemic shock. The patient's urine was examined under ultraviolet rays, the fluorescence was ultrapositive. Verdoglobinuria was positive proof. After active measures were administered, the patient was out of danger from this septicopyraemic shock. The metabolism mechanism of verdoglobin, diagnostic effect of verdoglobinuria on P. aeruginosa septicaemia in severe burns and treatment are discussed.","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"45 1","pages":"188-92"},"PeriodicalIF":0.0,"publicationDate":"1983-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89393341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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