ABSTRACT
Five-year experience in the treatment of patients with severe electrotrauma are analysed. They accounted for 3.1% of the total number of patients with burns. The treatment of such patients in of a long duration and expensive. This trauma nonetheless leads to irreversible affection of the organism and disability. The main success is determined by early surgical treatment before the development of pyo-inflammatory processes in the injured tissues.
Subject(s)
Burns, Electric , Adolescent , Adult , Age Factors , Burns, Electric/epidemiology , Burns, Electric/surgery , Female , Humans , Male , Middle Aged , Sex FactorsABSTRACT
The authors summarize and describe 18-years' experience in the management of patients with burns and determination of the potassium ion content in blood plasma, urine, erythrocytes, and burn exudate. They established that the abnormal potassium content is most hazardous during shock and toxemia and that the changes must be immediately corrected, otherwise complications occur in the course of the burn disease which may prove irreparable and cause death of the patient. The main principles of blood potassium+ control consisted in preventing loss of potassium through the wound and the kidneys and restoring its level by infusion. Early closure of burn wounds is an important moment in the control of potassium blood level disorders]
Subject(s)
Burns/blood , Hyperkalemia/etiology , Hypokalemia/etiology , Potassium/blood , Adolescent , Adult , Aged , Child , Fluid Therapy , Humans , Hyperkalemia/therapy , Hypokalemia/drug therapy , Middle Aged , Potassium/administration & dosageABSTRACT
A study was made of lipid metabolism in burn disease patients who received prolonged nasogastral feeding. The main alterations were discovered in phospholipid fractions of blood plasma and red blood cell membranes. In patients receiving nasogastral feeding, the alterations returned to normal more rapidly than in those who did not receive such a feeding. It is recommended that such a type of intensive care should be introduced on a broader scale in the treatment of burn disease patients.
Subject(s)
Burns/metabolism , Enteral Nutrition , Lipid Metabolism , Adolescent , Adult , Erythrocyte Membrane/metabolism , Humans , Intubation , Intubation, Gastrointestinal , Middle Aged , Phospholipids/blood , Phospholipids/metabolismABSTRACT
The article shows that treatment of frostbites in a special medium with controlled temperature and humidity makes the time of treatment shorter and prevents complications characteristic of such a trauma. The main purpose of such exposures of the injured areas is to achieve mummification and to make the operation as early as possible. The mummification of the soft tissues began within 5-8 days after trauma. Chemical necrectomy was possible on the 7th-9th days, followed by autodermoplasty on the 2nd day.
Subject(s)
Frostbite/therapy , Combined Modality Therapy , Humans , MicroclimateSubject(s)
Burns/therapy , Hemoperfusion , Plasmapheresis , Acute Disease , Combined Modality Therapy , Humans , Toxemia/therapySubject(s)
Beds , Burns/metabolism , Water-Electrolyte Balance , Adolescent , Adult , Burns/therapy , Chlorine/blood , Humans , Middle Aged , Occlusive Dressings , Potassium/blood , Sodium/bloodSubject(s)
Burns/blood , Erythrocyte Membrane/metabolism , Lipid Peroxides/blood , Acute Disease , Adolescent , Adult , Free Radicals , Humans , Male , Middle AgedABSTRACT
An ADS-4M analyser was employed to study the diagnostic potentialities of the method for determination of double bonds (DB) in lipids of the burnt's blood as a rapid method for revealing alterations in unsaturated fatty acids (USFA). The method was tried in 25 patients with varying gravity of burn injury and in 15 healthy subjects with a purpose of establishing the norm. It was discovered that in patients with burn, the number of DB differed from normal depending on the disease gravity. The time course of changes in the number of DB attests to the necessity of the use of the method under consideration for evaluating abnormalities in the content of USFA.
Subject(s)
Blood Chemical Analysis/instrumentation , Burns/blood , Lipids/blood , Adolescent , Adult , Female , Humans , Male , Middle AgedSubject(s)
Burns/therapy , Enteral Nutrition , Fatty Acids, Nonesterified/blood , Acute Disease , Adolescent , Adult , Burns/blood , Chromatography, Gas , Female , Humans , Lipids/blood , Male , Middle Aged , Time FactorsSubject(s)
Burns/therapy , Infrared Rays/therapeutic use , Patient Isolation , Wound Infection/prevention & control , Adult , Combined Modality Therapy , Female , Humans , Male , Middle AgedSubject(s)
Burns/metabolism , Fatty Acids/blood , Adolescent , Adult , Humans , Lipid Metabolism , Lipolysis , Middle AgedSubject(s)
Burn Units , Burns/therapy , Infrared Rays , Intensive Care Units , Patient Isolators , Adult , Bandages , Burns/complications , Cross Infection/prevention & control , Female , Humans , Length of Stay , Male , Middle Aged , Surgical FlapsABSTRACT
Under observation were 102 burned patients with different degrees of injuries treated under conditions of the laminar flow of sterile air without dressing. The results obtained were compared with those obtained in the similar group of patients treated by a traditional dressing method. The abacterial medium with controlled humidity and temperature was established to exercise a favourable effect on homeostasis and such stages of the burn disease as shock and toxemia.
