Modern Treatment of Severe Burns by Fang Zhi-yang (auth.), Fang Zhi-yang Prof. M.D., Sheng

By Fang Zhi-yang (auth.), Fang Zhi-yang Prof. M.D., Sheng Zhi-yong Prof. M.D., Li Ngao Prof. M.D., Ge Sheng-de Prof. B.S., M.D. (eds.)

This quantity represents a complete creation to present practices within the administration of critical burns within the People's Republic of China. therefore even if established mostly on scientific paintings and experimental study played in China, it additionally takes account of labor performed somewhere else. The 18 chapters take care of such subject matters because the historical past and improvement of burn surgical procedure in China, the overview of the severity of burns, first relief, early fluid resuscitation measures, the remedy of inhalation harm, wound administration, the surgery of deep burns, wound insurance and epithelial tradition, measures to deal with neighborhood and systemic an infection, immunology, the administration of a number of organ failure, metabolism and food, and rehabilitation. the applying of concepts from conventional chinese language medication to the administration of burn accidents is additionally defined.

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9. Changes in serum colloid osmotic pressure and osmolality in 31 patients 6 n E OJ 4 -. - . ---ff-- . -. --........ Hb ~ 14 "'''-. 12 24 48 7 days Postburn (h) Fig. 10. Changes in homoglobin, hematocrit, and plasma protein in 293 burn patients. -tIl 2 4 8 12 24 Q:c ::; Postburn (h) tIl Fig. 11. 0 60 (L 50 's en0 40 (I vs II) t ,~I 2 tIl Q: 4 V rnax , maximum velocity of myocardial • Group I o Group II *p<005 100 after burn. Vrnax 6 8 I 12 I 16 20 24 ,? I 32 40 48 c ::; tIl Postburn (h) Fig. 12.

Burns 13: 53-56 31. Kremer H, Allgower M, Craf Met al. (1981) The present studies of research in burn toxin. Intensive Care Med 7: 71-76 32. Jones JV (1980) Plasmapheresis: current research and success. Heart and Lung 9: 671674 33. Yu H, Cooper EH (1983) Urinary protein profiles after burn injury. Burns 9: 339-349 34. Arturson G, Jonsson CE (1973) Effects of indomethacin on the trans-capillary leackage of macromolecules and the effiux of prostaglandins in paw lymph following experimental scalding injury.

Therefore, combined treatment of early burns with fluid as the main component is recommended. , indomethacin and phenylbutazone, inhibit bioconversion of arachidonic acid to endoperoxides. Treatment with indomethacin (20 mg/kg twice daily) in scald injury results in marked suppression of increased lymph flow. The transcapillary transport is reduced, but the functional ultrastructure of the blood-lymph barrier is not altered by indomethacin treatment [34]. , imidazole, methimazole, and dipyridamole, decrease the adhesiveness of thrombocytes and leukocytes and abolish the vasoconstrictive effects ofthromboxane.

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