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Cold burn injuries in the UK: the 11-year experience of a tertiary burns centre

burns & Trauma 2016年第4期4卷 299-306页

作者： Metin Nizamoglu Alethea Tan Tobias Vickers Nicholas Segaren David Barnes Peter Dziewulski st andrew plastics and burns unit Court RoadChelmsford CM17ETUK The University of Adelaide AdelaideSouth Australia 5005Australia

Background:Guidance for the management of thermal injuries has evolved with improved understanding of burn *** for the management of cold burn injuries is not widely *** management of these burns differs from the standard management of thermal *** study aimed to review the etiology and management of all cold burns presenting to a large regional burn centre in the UK and to provide a simplified management pathway for cold ***:An 11-year retrospective analysis(1 January 2003–31 December 2014)of all cold injuries presenting to a regional burns centre in the UK was *** case notes were reviewed for injury mechanism,first aid administered,treatment outcomes and time to *** anonymized nationwide survey on aspects of management of cold burns was disseminated between 13 July 2015–5 October 2015 to British Association of Plastic Reconstructive and Aesthetic Surgeons(BAPRAS)and Plastic Surgery Trainees Association(PLAstA)members in the *** searches of MEDLINE,EMBASE and the Cochrane Library were performed to identify relevant literature to provide evidence for a management pathway for cold burn ***:Twenty-three patients were *** range was 8 months–69 *** body surface area(TBSA)burn ranged from 0.25 to 5%.Twenty cases involved peripheral ***(73.9%)cases were accidental,with the remaining six(26.1%)cases being deliberate self-inflicted *** eight patients received first *** except one patient were managed *** case required skin graft application due to delayed *** received 52 responses from a total of 200 *** percent of responders think clearer guidelines should *** present a simplified management pathway based on evidence identified in our literature ***:Cold burns are uncommon in comparison to other types of burn *** the UK,a disproportionate number of cold burn injuries are

关键词： Cold burn Guideline Survey Treatment

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Pre-expanded occipito-dorsal flap reconstruction for neck burns: A novel approach

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burns & Trauma 2014年第2期2卷 88-90页

作者： Sameena Hassan Peter Brooks Department of plastics Burns and Reconstructive Surgery Nottingham University Hospitals National Health Service Trust City Campus Nottingham England

Reconstruction of the neck following a burn injury poses a significant challenge to reconstructive burn surgeons. Here, we report a case of successful application of pre-expanded occipito-dorsal flaps in the reconstruction of postburn scars and contractures in the neck. The patient was a 10-year-old boy who sustained scars and contractures secondary to a burn injury 4 years ago. "Super-thin"flaps were obtained through pre-expansion in the occipito-dorsal area and then transferred to the recipient site. This approach resulted in an esthetic satisfaction and a significant functional improvement, thereby having significant clinical implications in the reconstruction of soft tissue damage secondary to burn injuries in the neck.

关键词： burns neck tissue expansion occipito-dorsal flap

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Retrospective analysis： the earthquake-injured patients in Barakott of Pakistan

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Chinese Journal of Traumatology 2009年第2期12卷 122-124页

作者：白晓东刘贤华 Department of burns and plastics General Hospitalof Chinese Armed Police Forces Beijing 100039 China Central laboratory General Hospital of Chinese Armed Police Forces Beijing 100039 China

Objective： To provide the experience on medical rescue and care for any giant earthquake by analysing the patients treated by the Chinese Medical Rescue Team in the Barakott earthquake of Pakistan. Methods： On October 8, 2005, a giant earthquake （7.8 Richter scale） earthquake occurred in the northwest Pakistan. We belonged to the Chinese Medical Rescue Team and worked in the earthquake-affected town-Barakott from October 28, 2005 to November 17, 2005. The patients were classifted into upper respiratory tract infection, diarrhea, trauma and other diseases. All the data of patients who were injured during the earthquake were analysed. The difference was analyzed by x^2 test. Results： Of the 2 194 patients treated by the Chinese Medical Rescue Team, trauma patients only accounted for 29%, diarrhea patients for 4%, upper respiratory infection patients for 14%, and other types of diseases for 52%.Among the 630 trauma patients, 426 patients were injured during the earthquake. Of the 426 patients, 291 （68%） patients were found having open wounds, 85 （20%） patients mainly complained of soft tissue pain without any wound or fracture, and 76 （18%） patients had fractures with or without open wound. The most frequent site of wound was lower extremity. Head injury in children was 30%, obviously higher than that in the adults. Wound infection was common among the injured patients, with the rates of 72%, 64% and 78% in male, female adult patients and children, respectively. Conclusions： Prevalence of common diseases, trauma, wound infection and fracture are main problems presented at late stage of the giant earthquake. Great attention should be paid to head and lower extremity injuries.

关键词： Earthquakes Wounds and injuries Rescue work

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Evaluation of optimized continuous venovenous hemodiafiltration therapy efficiency in severe burn patients with sepsis

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burns & Trauma 2014年第3期2卷 125-129页

作者： Cheng Xu Kunwu Fan Lihua Xie Wanan Chen Liya Wang Department of Burn and plastics in the Second Hospital of Shenzhen GuangdongChina Emory University School of Medicine AtlantaGeorgia 30322USA

As an initial factor,sepsis and multiple organ dysfunction syndrome(MODS)caused by sepsis are the principal causes of death in burned patients. In this report, we measured the levels of tumor necrosis factor (TNF)-α, interleukin (IL)-6 and IL-8 in severely burned patients with sepsis after the initiation of continuous vein-vein hemodiafiltration (CVVHDF) to evaluate the clinical usefulness of CVVHDF on the removal of key mediators. The vital sign indices, such as the heart rate (HR), respiration (R) and central venous pressure (CVP), were recorded at 0 and 42 h in each group. Further, the laboratory examinations indexes, such as the white blood cel count, blood sugar, se-rum sodium, blood urea nitrogen and serum creatinine, were detected in venous blood samples. Twenty-two severely burned patients suffering from sepsis were randomized into the control group (A, n = 11) and the experimental group (B, n = 11). The patients in group A underwent conventional treatment, and those in group B received conventional+CVVHDF treatment. The vital signs, such as the HR, R, and CVP, and laboratory examination indices, such as the blood cel count, blood sugar, serum sodium, blood urea nitrogen, and serum creatinine, dropped significantly in group B compared with those in group A at 42 h (P start of CVVHDF and at the same time points after the patients were diagnosed with sepsis in group A. The plasma levels of TNF-α in group B decreased by 32% at 18 h after the start of CVVHDF and decreased by 43%at 42 h after the start of CVVHDF;however, these levels were increased compared with the normal values (P start of CVVHDF (0.274 ± 0.137 ng/ml). Fol owing a brief increase at 24 h, the plasma levels of IL-6 again decreased continuously until the end of the investigation (0.192 ± 0.119 ng/ml). The plasma levels of IL-8 in gr

关键词： Burn inflammatory sepsis continuous vein-vein hemodiafiltration

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Burn Management at the 37 Military Hospital—A Tertiary Hospital in Accra, Ghana

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Modern Plastic Surgery 2022年第1期12卷 1-12页

作者： Kwesi Okumanin Nsaful Edward Asumanu Yaa Konadu Asante-Mante Jeffery Eduku Mozu Jennifer Maame Efua Owusu Emmanuel Yaw Botchway Amma Gyamfuawaa Afriyie stephen Mawuli Dei Edmund Tettey Nartey Richard Osei Boateng plastics and Burn Centre 37 Military Hospital Accra Ghana General Surgery unit 37 Military Hospital Accra Ghana statistics and Data Analysis Department Korle Bu Teaching Hospital Accra Ghana Records and Data Collection Division 37 Military Hospital Accra Ghana

Burn injuries have been and remain a very significant source of mortality and morbidity in low- and middle-income countries. As a country in this category, Ghana, is not exempted. Ghana has a population of 31 Million with only 21 Plastic Reconstructive and Burn surgeons. Moreover, the country can boast of only 3 major Burn centres. This notwithstanding the country in particular and Africa, in general, carries an extraordinary burden of Burn injuries with devastating consequences. Burn data from the 37 Military Hospital were analyzed from March 2018 to September 2019—a period of 18 months. In all, 217 burn cases were seen representing about 2.1% of all trauma and surgical cases. Our burn data analyzed the peculiarities of epidemiology, types of burn, the pattern of injuries, and the outcome of burn care at the 37 Military Hospital. Flame is emerging as the predominant cause of burns, most frequently occurring from the use of Liquid Petroleum Gas. In the pediatric population, however, the most frequent cause of burns is hot water burns. The mortality rate among the burn population was 1.8% (4 mortalities). This paper aims to point out management methods adopted by our unit which helped to improve burn outcomes and to reduce mortality.

关键词： burns Wound Healing Wound Dressing Burn Blisters Antibiotics

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Cardiac contraction and calcium transport function after severe burn injury in rats

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Chinese Journal of Traumatology 2000年第2期3卷 97-101页

作者：杨建民杨宗城黎鳌陈发明齐顺贞朱玉凤 Department of Bums and plastics Bethune International Peace Hospital of PLA Shijiazhuang 050082 China Institute of Burn Research Third Military Medical University Chongqing 400038 China

Objective: To examine the function change of myocardial calcium transports and determined what role the change plays in cardiac dysfunction after severe burn injury in rats. Methods: The contraction and relaxation properties of the left ventricle (LV) were studied in the isolated hearts preparations of Wistar rats at 3, 8, and 24 h after a 30% TBSA (total body surface area) full thickness burn. The calcium transport function of the sarcoplasmic reticulum (SR) was measured by the millipore filtration technique. Results: The maximal rate of LV pressure (±dp/dtmax) of the burn group was significantly lower than that of the control group (P< 0.01 ). In addition, the calcium dependent ATPase activity and the coupling ratio of SR were also markedly depressed. Conclusions: It indicates that the decrease in the SR calcium transport function is one of the important mechanisms for the cardiac contractile dysfunction after severe burn injury.

关键词： burns Myocardial contraction Sarcoplasmic reticulum Calcium channels

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