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KMID : 0358819750020010057
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1975 Volume.2 No. 1 p.57 ~ p.62
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Clinical and Statistical Observation in 224 Cases of Burn Patients
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金榮哲/Kim, Young Chul
朴京鎭/崔鍾浩/丁銓殷/Park, Kyoung Jin/Choi, Jong Ho/Chung, Chun Nun
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Abstract
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There has been a considerable improvement in the understanding of pathophysiology of bum and its treatment in recent year.
The mortality for unselected cases of burns has been declined during last few decades. However, mortality from severe bums remains to be very high.
In recent journal, several methods has been named to improve this high mortality. One of our effort focused on skin graft to reduce this high mortality.
During the past 3 year period from May. 1971 to May. 1974, 224 cases of burn patient had been treated at surgical department of Woo Sok hospital of Korea University. Clinical analysis of these 224 cases of burn patient were carried out and summarized as follows;
1) Age and Sex distribution: Between I to 9 years old children were most commonly involved (51.6%) and male were affected twice than females.
2) Sesonal distribution: Most patients were occured in June, July and August, 71 cases (31.7%).
3) The causes of burn are as follows: Scalding 127 cases (56.6%), Flame 78 cases (34.9%), Chemical 12 cases (6%).
4) The extent of burn: l1%-,30% burn surface area is most common, 108 cases (48%).
5) For the fluid therapy of burn cases, Evans formula was employed in most children and Brooke´s formula in adult patients. The result of these treatment was excellent in 121 cases (54%) and expired in 58 cases (26%).
6) There were 58 deaths (26%) in all. Among of these, 32 cases(55.2%) were succumbed by the wound infections and septicemia, 8 cases(13.8%) were due to burn shock
7) Skin graft was performed in 48 cases(21.4j). Skin graft was performed mostly between 2 to 3 weeks, as late as 4 weeks.
8) Period from skin graft to discharge was within 2 weeks in 19 cases (39.6%),within 3 weeks in 12 cases (25%), and within 4 weeks in 7 cases (14.6%).
9) Success rate of skin graft was over 90% in 42 cases (87.6%), and 70-90% was 5 cases (10.4%).
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KEYWORD
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