Polácek V, Broz L, Kripner J, Bouska I, Liska E
Burns Department, Czechoslovakia 3rd Medical Faculty, Charles University, Prague.
Acta Chir Plast. 1991;33(2):98-109.
The authors refer to the frequently difficult diagnosis of gastrointestinal complications of major burns, particularly in childhood, to weight the factors co-responsible for the development of those complications and to stress the importance of the patient's history. They report on the case of three and a half year-old child to demonstrate the fatal course of a late diagnosed complications -- perforating cholecystitis. Autopsy showed the chronic nature of the disease with acute exacerbation in the course of treatment. No case similar to this one has yet been seen at the Prague Burns Centre in any age category.
作者提到，严重烧伤的胃肠道并发症诊断常常困难，尤其是在儿童中，以此权衡导致这些并发症发生的共同因素，并强调患者病史的重要性。他们报告了一名三岁半儿童的病例，以证明晚期诊断出的并发症——穿孔性胆囊炎的致命病程。尸检显示该病具有慢性性质，在治疗过程中急性加重。布拉格烧伤中心在任何年龄组中都尚未见过类似病例。
