Gupta M, Bansal M, Gupta A, Goil P
Department of Plastic and Reconstructive Surgery, SMS Hospital, Jaipur, Rajasthan, India.
Burns. 1995 Sep;21(6):469-70. doi: 10.1016/0305-4179(95)92003-u.
Nowadays acute renal failure in burns is not a common occurrence, at least not when most of the wounds have already healed. We report a case of a 6-year-old child with 45 per cent flame burns, who suffered acute renal shutdown 43 days after burns when all except 1 per cent of the raw areas had already been grafted with autologous skin. There was no identifiable focus of infection and no evidence of septicemia. The patient was not receiving any nephrotoxic drugs. The child responded well to peritoneal dialysis and recovered fully.
如今,烧伤后急性肾衰竭并不常见,至少在大多数伤口已经愈合时不会出现。我们报告一例6岁儿童,其45%的体表被火焰烧伤,在烧伤43天后,除1%的创面外其余创面均已植皮,此时出现急性肾衰竭。未发现明确的感染灶,也无败血症证据。患者未使用任何肾毒性药物。该患儿对腹膜透析反应良好,完全康复。