SURGICAL TREATMENT OF DEEP BURNS AND BLEEDING PREVENTION AT NECRECTOMY AND COAGULOPATHY
| Autor: | Šarić, Frano |
|---|---|
| Přispěvatelé: | Roje, Zdravko |
| Jazyk: | chorvatština |
| Rok vydání: | 2017 |
| Předmět: | |
| Popis: | Cilj istraživanja: Temeljni cilj ovog rada je prikazati rezultate liječenja bolesnika s opeklinama hospitaliziranih na Kliničkom odjelu za plastičnu kirurgiju i opekline, KBC Split, lokalitet Križine. Materijali i metode: U istraživanju su obrađena 526 bolesnika s opeklinama u sedmogodišnjem razdoblju od siječnja 2009. do prosinaca 2015. godine. Rezultati: Istraživanje je potvrdilo da prevladavaju termičke opekline u kojima je udio zahvaćene tjelesne površine najčešće od 5% do 20%. Veći broja bolesnika (67%) liječen je konzervativnom kirurškom metodom liječenja. Analiza kirurškog zbrinjavanja dubokih opeklina iz ove studije pokazala je da rana tangencijalna ekscizija uz neposrednu transplataciju kože, u odnosu na konzervativno kirurško zbrinjavanje, značajno smanjuje mortalitet, introperacijski i postoperacijski gubitak krvi, incidenciju manifesne infekcije opeklinske rane i opeklinske sepse te broj dana bolničkog liječenja. U odnosu na ukupni broj primjenih bolesnika ukupna stopa mortaliteta bila je mala (5,7%) zbog napretka u kirurškom zbrinjavanju opeklina, ali i zbog manjeg udjela zahvaćene tjelesne površine (kod 73% bolesnika s opeklinama zahvaćeno je od 5% do 20% tjelesne površine). Zaključak: Rana tangencijalna ekscizija, zajedno sa napretkom u nadoknadi tekućine i napretcima u dijagnostici opeklinske sepse znakovito je poboljšala ishod liječenja dubokih opeklina. Objectives: The main aim of this paper was to present the results of treatment of burned patients hospitalized in the clinic for plastic surgery and burns, KBC Split, locality Križine. Materials and methods: The research has included 526 burn patients in total, through a period of 7 years, from January 2009 until December 2015. Results: The research confirmed that heat burns are the most common burns, with the majority of patients that have 5% to 20% of body surface affected. Almost two thirds of the patients (67%) have been treated by conservative surgical method of treatment. In our research the analysis of surgical treatment of deep burns showed that early tangential excision with immediate transplantation of skin significantly reduces mortality, inoperative and postoperative loss of blood, incidence of manifest infection of wound and burn sepsis, and the duration of hospitalization, in comparison with conservative surgical treatment. In comparison to number of treated patients in total, the mortality rate was low (5.7%) due to improvement in surgical treatment of burns, but also due to less share of affected body surface (73% of burns affected from 5% to 20% body surface). Conclusion: Early tangential excision, together with progress in replacement of fluid (resuscitation), and with progress in prevention of burn sepsis, has significantly improved the outcome of deep burns treatment. |
| Databáze: | OpenAIRE |
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