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Successful treatment of a patient with an extraordinarily large deep burn.

Li HY, Xiao SC, Zhu SH, Wang GY, Wang GQ, Ji SZ, Xia ZF - Med. Sci. Monit. (2011)

Bottom Line: Treatment of extraordinarily large deep burns remains a huge clinical challenge.This article is a summary of our experience with the treatment of a patient with an extraordinarily large deep burn (99.5% TBSA and 23% fourth degree burn) by using the "microskin autografting and alloskin repeated grafting" method to close the deep burn wound because of scarcity of skin sources of the patient.The patient has been observed for 2 years, and is able to face the reality of life peacefully with the support of his family.

View Article: PubMed Central - PubMed

Affiliation: Department of Burn Surgery, Changhai Hospital, 2nd Military Medical University, Shanghai, PR of China.

ABSTRACT

Background: Treatment of extraordinarily large deep burns remains a huge clinical challenge.

Case report: This article is a summary of our experience with the treatment of a patient with an extraordinarily large deep burn (99.5% TBSA and 23% fourth degree burn) by using the "microskin autografting and alloskin repeated grafting" method to close the deep burn wound because of scarcity of skin sources of the patient.

Conclusions: The patient has been observed for 2 years, and is able to face the reality of life peacefully with the support of his family.

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Related in: MedlinePlus

Extraordinary severe burn involving 99.5% TBSA (A); muscular eversion and necrosis are seen in left upper limb like fish meat (B); fingers of left hand are carbonized and necrosed like dry branches (C).
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f1-medscimonit-17-4-cs47: Extraordinary severe burn involving 99.5% TBSA (A); muscular eversion and necrosis are seen in left upper limb like fish meat (B); fingers of left hand are carbonized and necrosed like dry branches (C).

Mentions: The patient is a 29-year-old male who was seriously burned by molten steel (about 1,500°C) from the top of the head throughout the body, in an accidental furnace explosion. Thirty hours after fluid resuscitation in a local hospital, he was referred to our hospital, when the patient was conscious and the vital signs were relatively stable. Except for a small piece of unburned skin on the posterior head measuring about 0.5% TBSA, the rest of the scalp and the face suffered deep second degree burns, and the trunk and the 4 extremities were full of black eschar. When the 4 extremities were incised to reduce tension, muscular eversion and necrosis were seen in part of the median sides of the upper limbs and thighs, and lateral sides of the calves, the left arm being the most serious. The fingers of both hands and toes of both feet were carbonized, presenting as branch-like dry necrosis (Figure 1). The left eye was severely burned and the cornea was perforated. A diagnosis was made of 99.5% TBSA burn wound, 5.5% deep second degree, 71% third degree and 23% fourth degree, and left eye burn with corneal perforation.


Successful treatment of a patient with an extraordinarily large deep burn.

Li HY, Xiao SC, Zhu SH, Wang GY, Wang GQ, Ji SZ, Xia ZF - Med. Sci. Monit. (2011)

Extraordinary severe burn involving 99.5% TBSA (A); muscular eversion and necrosis are seen in left upper limb like fish meat (B); fingers of left hand are carbonized and necrosed like dry branches (C).
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3539531&req=5

f1-medscimonit-17-4-cs47: Extraordinary severe burn involving 99.5% TBSA (A); muscular eversion and necrosis are seen in left upper limb like fish meat (B); fingers of left hand are carbonized and necrosed like dry branches (C).
Mentions: The patient is a 29-year-old male who was seriously burned by molten steel (about 1,500°C) from the top of the head throughout the body, in an accidental furnace explosion. Thirty hours after fluid resuscitation in a local hospital, he was referred to our hospital, when the patient was conscious and the vital signs were relatively stable. Except for a small piece of unburned skin on the posterior head measuring about 0.5% TBSA, the rest of the scalp and the face suffered deep second degree burns, and the trunk and the 4 extremities were full of black eschar. When the 4 extremities were incised to reduce tension, muscular eversion and necrosis were seen in part of the median sides of the upper limbs and thighs, and lateral sides of the calves, the left arm being the most serious. The fingers of both hands and toes of both feet were carbonized, presenting as branch-like dry necrosis (Figure 1). The left eye was severely burned and the cornea was perforated. A diagnosis was made of 99.5% TBSA burn wound, 5.5% deep second degree, 71% third degree and 23% fourth degree, and left eye burn with corneal perforation.

Bottom Line: Treatment of extraordinarily large deep burns remains a huge clinical challenge.This article is a summary of our experience with the treatment of a patient with an extraordinarily large deep burn (99.5% TBSA and 23% fourth degree burn) by using the "microskin autografting and alloskin repeated grafting" method to close the deep burn wound because of scarcity of skin sources of the patient.The patient has been observed for 2 years, and is able to face the reality of life peacefully with the support of his family.

View Article: PubMed Central - PubMed

Affiliation: Department of Burn Surgery, Changhai Hospital, 2nd Military Medical University, Shanghai, PR of China.

ABSTRACT

Background: Treatment of extraordinarily large deep burns remains a huge clinical challenge.

Case report: This article is a summary of our experience with the treatment of a patient with an extraordinarily large deep burn (99.5% TBSA and 23% fourth degree burn) by using the "microskin autografting and alloskin repeated grafting" method to close the deep burn wound because of scarcity of skin sources of the patient.

Conclusions: The patient has been observed for 2 years, and is able to face the reality of life peacefully with the support of his family.

Show MeSH
Related in: MedlinePlus