Burn injury in children
Dotaz
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The authors have analyzed the data files of 580 child patients up to 15 years of age who were hospitalized at the Burn Center of the FNsP Hospital in Ostrava in the years 1999 – 2003. The authors focused on mechanisms of burn injury in relation to the age of a child as well as extent, depth, localization, and local treatment of the injury. The data file was divided to four age groups: up to two years of age, 2 – 5 years of age, 5 – 10 years of age, and 10 – 15 years of age. As regards the mechanisms of injury, the authors have analyzed scalding by hot liquids, burns due to contact with a hot object, burns due to electric current, explosion, and injury caused by burning clothing. Injury by scalding prevails to a very significant degree in the youngest children. In the second age group the incidence of burn following contact with hot objects increases, as does the percentage of children injured by burning of clothing in children aged 5 – 10. The older children have increased prevalence of injuries caused by explosions. The greatest average extent of an injury is from burning of clothing. Most of the areas are burned deeply, localized in more areas of the body, and almost half of the cases required surgical intervention. Scalding comes second in terms of average extent of an injury. More than half of the injured areas are superficial, and areas of injury are different in the individual age groups.We addressed about a fifth of the cases surgically. The explosion of combustible materials caused a smaller extent of injury, on average, taking third place. The injuries were predominantly superficial, most commonly involving the head, trunk, and upper extremities. In none of the cases it was necessary for us to operate. Burn injuries caused by contact with hot objects are of a smaller extent. More than half of the burned areas are deep, localized most commonly in the upper extremities. Surgical intervention was necessary in more than half the cases. In terms of average extent of an injury, the smallest burn injuries are caused by electric current. However, these injuries are deep, and surgical intervention was necessary in all cases.
- MeSH
- chemické popálení MeSH
- dítě MeSH
- popálení MeSH
- Check Tag
- dítě MeSH
- Publikační typ
- kazuistiky MeSH
The authors present a data file of 279 children with severe and critical burn injury, hospitalized in the Intensive Care Unit or the Pediatric Resuscitation Unit of the FNsP Hospital in Ostrava in the years 1999 – 2003. The severity of the burn trauma in children is determined by age, extent, depth, localization, circumstances of the injury, its mechanism, and by other serious illnesses of a child. The authors have divided the data file into two groups, severe and critical, using classification of a burn injury in children according to the extent of injury as well as localization and other circumstances (1). Complex therapy of extensive burn injuries in children is based on adequate fluid resuscitation, treatment of burned areas, algosedation, and appropriate antibiotic therapy. The authors have unequivocally confirmed that in the group of children with diagnosis of critical burns complications occur more often, while the overall course of illness is serious and requires more therapeutical interventions than in the group of children with severe burns.
V práci je popsáno soustavné monitorování inhibiční aktivity AT III v plazmě u všech našich těžce a kriticky popálených pacientů v posledních čtyřech letech a modifikace substituční léčby Antitrombinu III.
Systemic monitoring of inhibitory activity of antithrombin III in plasma in all our severely and critically burned patients during the last four years is described. A modification of substitution therapy with antithrombin III is outlined.
- MeSH
- dítě MeSH
- dospělí MeSH
- fibrinogen analýza MeSH
- koagulopatie MeSH
- kojenec MeSH
- lidé středního věku MeSH
- lidé MeSH
- parciální tromboplastinový čas MeSH
- popálení etiologie patofyziologie terapie MeSH
- senioři MeSH
- Check Tag
- dítě MeSH
- dospělí MeSH
- kojenec MeSH
- lidé středního věku MeSH
- lidé MeSH
- senioři MeSH
- MeSH
- dítě MeSH
- lidé MeSH
- popálení epidemiologie prevence a kontrola terapie MeSH
- rizikové faktory MeSH
- školy MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- srovnávací studie MeSH
Termický úraz je jedno z najzávažnejších zranení v traumatológii. Popáleniny nesú so sebou veľa rizík, z ktorých najzávažnejšie je ohrozenie života a v neposlednom rade trvalé následky. Hlavnou klasifikáciou popálenín je rozdelenie na dve skupiny podľa hĺbky poranenia. Hĺbka určuje aj následný spôsob ošetrenia popálenej plochy. Povrchové popáleniny ošetrujeme konzervatívnym postupom, hlboké popáleniny si vyžadujú často chirurgický prístup. Špecifickou skupinou sú detskí pacienti. Liečba popálenín v Českej republike pozostáva zo siete tvorenej tromi špecializovanými popáleninovými centrami (Praha, Brno, Ostrava), ktoré hospitalizujú pacientov s najzávažnejšími termickými úrazmi z celej ČR i zahraničia. Menej závažné prípady popálených pacientov môžu byť ošetrované cestou spádových chirurgických ambulancií.
Thermal injuries belong to the most severe ones in traumatology. Burn injuries pose numerous risks, the most critical ones are life-threatening and potentially resulting in permanent damage. The main classification of burn injuries is based on the depth of the injury, which determines the appropriate treatment method. Superficial burns are typically treated conservatively, while deep burns often require surgical intervention. Children represent a very specific group of burn patients. In the Czech Republic, burn injury treatment is centralized in three specialized burn centres (Prague, Brno, Ostrava) that hospitalize patients with the most severe thermal injuries from the whole country and abroad. Less serious thermal burns can be treated at local surgery departments.
Na Klinice popálenin a rekonstrukční chirurgie ve Fakultní nemocnici Brno je každý rok za hospitalizace léčeno pro popáleniny kolem 170 dětí. U většiny těchto dětí se jedná pouze o izolované popáleninové trauma. Přesto existují specifické mechanizmy, které mohou kombinovat různé typy traumatu, například termický a mechanický. Sdružené popáleninové a mechanické poranění je spojeno s vyšším rizikem rozvoje compartment syndromu a vyžaduje tak specifický přístup ve wound managementu. V kazuistice prezentujeme právě tento případ sdruženého poranění.
There are about 170 children treated for burns at Department of burns and reconstructive surgery in University hospital Brno every year. Burn injury associated with the mechanical injury is very severeas this type of injury carries high risk of the compartment syndrome. It is the case in which theperfusion pressure falls below the tissue pressure in a closed anatomic space.
- MeSH
- edém etiologie MeSH
- hojení ran MeSH
- horní končetina * chirurgie patologie MeSH
- kompartment syndrom * diagnóza etiologie chirurgie MeSH
- lidé MeSH
- mechanický stres MeSH
- popálení * komplikace terapie MeSH
- předškolní dítě MeSH
- úrazy v domácnosti MeSH
- Check Tag
- lidé MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
Práce se zabývá popisem klinického experimentu u dvou pacientů, pri němž bylo použito dermálm' náhrady na bázi 1. atelokolagenu a kyseliny hyaluronové 2. alogenní acelulárm' dermis. V obou případech šlo o dvoustupňovou transplantaci s náhradou dermis v první době a epidermis ve druhé době. Řešeny byly hypertrofické plošné jizvy po popálení. U obou pacientů došlo k výraznému zlepšení kvality kožního krytu.
The study concerns a clinical experiment in two patients with a dermal substitute based on atelocoUagen and hyaluronid acid, and allogeneic acellular dermis. In both cases two-step grafting was perfonned. At the first step the dennal substitute was implanted into the wound and it was grafted at the second step with thin dermoepidermal autograft. Large hypertrophic scars after bum injury were treated. In both patients the quality of skin cover was significantly improved.
- MeSH
- dítě MeSH
- dospělí MeSH
- jizva hypertrofická chirurgie MeSH
- lidé MeSH
- popálení MeSH
- transplantace MeSH
- umělá kůže metody MeSH
- Check Tag
- dítě MeSH
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
Aims and objectives The aim of this study was to describe characteristics in burn injuries in children (0-6 years old), consulting primary care and hospital-based care in Malmö, Sweden. Burn injured children consulting the University Hospital or the 21 Health Centres, during year 1998 and year 2002, were included. Background Epidemiological studies of burns in children have mostly been hospital-based and the cases that never reached the hospital have been excluded. Design The study had a retro perspective design with data collected from medical records. Methods Chi-squared test was used to analyse differences in nominal data and cross tables were used to analyse the proportions between the characteristics of the injuries and sex, age and nationality.
- Klíčová slova
- opaření,
- MeSH
- dítě MeSH
- emigranti a imigranti statistika a číselné údaje MeSH
- hospitalizace statistika a číselné údaje MeSH
- kojenec MeSH
- lidé MeSH
- novorozenec MeSH
- popálení * epidemiologie prevence a kontrola MeSH
- předškolní dítě MeSH
- retrospektivní studie MeSH
- rizikové faktory MeSH
- rozdělení chí kvadrát MeSH
- rozložení podle pohlaví MeSH
- stupeň závažnosti nemoci MeSH
- úrazy v domácnosti * statistika a číselné údaje MeSH
- věkové rozložení MeSH
- Check Tag
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- mužské pohlaví MeSH
- novorozenec MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Geografické názvy
- Švédsko MeSH
