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KMID : 0853020090120020153
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Journal of Korean Burn Society
2009 Volume.12 No. 2 p.153 ~ p.158
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The Case Report of Burn Wound Healing in the Patient with Arteriovenous Fistula
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Mun Jae-Hwan
Cho Young-Kyu
Woo Go-Woon
Kim Min-Soo
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Abstract
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Purpose: Arteriovenous fistula (AV fistula) and immune suppressive drug have a different effect on wound healing. AV fistula supposed to have a positive role of wound healing by the increased blood flow around the wound. But immunosuppressive drug has a well known effect of delayed wound healing.
Methods: We experienced 55 years old female patient who suffered from 9% burn of TBSA, 2nd to 3rd degree burn of arm and chest wall with arteriovenous fistula in the burned arm. She also take immunosuppressive drugs for 13 years due to kidney transplantation.
Results: She takes two consecutive skin graft operations on post admission day 14 and 42. Bleeding from the surface of eschar excised arm was profuse so it makes us unable to finish in the first operation. But graft skins were well taken except partial take-off in chest wall area. Episode of shock make 2nd skin graft postponed for a month but the skin uptake of arm was very successful.
Conclusion: The arteriovenous fistula has the positive effect in the case of burn wound healing including the skin graft, exceed the negative role of immunosuppressive drugs in the wound healing.
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KEYWORD
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Arteriovenous Fistula, Immunosuppressive drug, Burn wound healing
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