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SEVERE BURN Akiko OHSHIRO 1 , Hideo NAKAYAMA 1 1Department of Dermatology, Keio University School of Medicine pp.1163-1168
Published Date 1967/11/1
DOI https://doi.org/10.11477/mf.1412200239
  • Abstract
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A 16-year-old girl of the burn which affected almost half of the entire body surface was reported. From the experience of treatment of this case, the authors proposed the following conclusions.

1) Volume of fluid supply should be rather small than the regular procedure in such a case with myocardial damage and renal insufficiency.

2) Among several kinds of colloidal fluid such as whole blood, dried plasma, PVP, or dextran, the low molecular dextran is the best.

3) Whether transfusion of the whole blood is useful or harmful could not be concluded in this case.

4) Serum potassium level should always be checked and balanced.

5) If there is no definite findings of adrenocortical insufficiency, administration of corticosteroids should be avoided.

6) Although the closed bandage method has been recommended as a topical treatment, in case of severe exudation, the exchange of bandage is inevitable. It is a matter of course that in this procedure strict prevention of infection is the most important problem as is written in the text book.


Copyright © 1967, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1324 印刷版ISSN 0021-4973 医学書院

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