The Radiographic Spectrum of Pulmonary Complications in Major Burn Patient.
10.3348/jkrs.2000.42.4.637
- Author:
Hae Kyoung JUNG
1
;
Eil Seong LEE
;
Ju Youn PARK
;
Soo Hyun KIM
;
Sung Hwan HONG
;
Hong Suk PARK
;
Kwan Seop LEE
;
Ik Won KANG
Author Information
1. Department of Radiology, Hallym University College of Medicine, Hangang Sacred Heart Hospital.
- Publication Type:Original Article
- Keywords:
Lung, radiography;
Lung, CT;
Lung, diseases
- MeSH:
Burns*;
Diagnosis;
Humans;
Inhalation;
Mortality;
Recognition (Psychology);
Respiratory System;
Sepsis;
Shock;
Smoke;
Wounds and Injuries
- From:Journal of the Korean Radiological Society
2000;42(4):637-642
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In recent years, improved antibiotic care and physiologic fluid replacement in cases involving burn wounds have led to a decrease in the rate of fatalaties caused by wound sepsis and shock. There has, however, been an upsurge and relative increase in the frequency (15 -25%) and mortality rate (50 -89 %) of pulmonary complications. Since pulmonary lesions may result from direct injury to the respiratory tract caused by smoke inhalation, from circulatory, metabolic or infectious complications in cases involving cutaneous burns, or may develop during the therapeutic management of these lesions, a wide spectrum of pulmonary abnormalities can occur during the post-burn period. There is considerable overlap between their radiographic appearances, which are often nonspecific. Since the successful management of these patients is based on the early recognition and vig-orous treatment of lesions, familiarity with all facets of these complications, based on a pathophysiology of the injury and on the knowledge of the clinical setting, enables radiologists to make more specific diagnoses.
