Sawada Y, Momma S, Takamizawa A, Nishida S
Burns Incl Therm Inj. 1984 Dec;11(2):143-7. doi: 10.1016/0305-4179(84)90139-6.
We describe a patient with 50 per cent, third degree flame burns who had a history of paint thinner inhalation for over 10 years. Moreover, chlorpromazine had been administered for the treatment of insomnia caused by chronic thinner intoxication. He developed oliguric acute renal failure soon after the burn injury, although adequate resuscitation therapy was given, and survived following frequent haemodialysis. Although survival from acute renal failure after severe burns is rare, once the diagnosis of acute renal failure has been made, haemodialysis should be instituted as early as possible. Furthermore, in a severely burnt patient with episodes of chronic and acute intoxication from organic chemicals or drugs which may have caused renal damage, acute renal failure may occur, so that careful observation is advised.
我们描述了一名患有50%三度火焰烧伤的患者，他有超过10年的吸入油漆稀释剂病史。此外，曾使用氯丙嗪治疗由慢性稀释剂中毒引起的失眠。尽管给予了充分的复苏治疗，但他在烧伤后不久仍发展为少尿性急性肾衰竭，并在频繁进行血液透析后存活下来。虽然严重烧伤后急性肾衰竭存活的情况很少见，但一旦诊断为急性肾衰竭，应尽早进行血液透析。此外，对于严重烧伤且有因有机化学物质或药物引起的慢性和急性中毒发作（可能已导致肾损伤）的患者，可能会发生急性肾衰竭，因此建议密切观察。
