Extensive pediatric burns due to accidental scalding

We investigated the clinical course of pediatric patients(age 1-7 yr) with burns ( 30-90 % of body surface area, mean 56%) by evaluating the total fluid requirements during the first 24 h, major organ dysfunction, and outcome at discharge from our intensive care unit (ICU) . The actual volume of fluid resuscitation was greater (110-210%, mean 160%) than estimated by Parkland formula( Baxter method ). Pulmonary atelectasis was diagnosed in three patients, whereas no pulmonary edema developed in spite of massive fluid administration. Blood examination indicated no renal and liver dysfunction except that pancreatic amylase was transiently elevated in the three patients. Anti-thrombin EI was decreased particularly in the patinets with burn area > 50% of BSA. In one case of 90% burned area, multiple organ failure developed following septicemia. All patients were discharged from ICU because of improvement in general conditions. We conclude that severe pediatric burn due to accidental scalding may have good outcome.

小児

熱傷

集中治療

家庭内事故