Analiza unor parametri în vederea stabilirii prognosticului vital la pacienţii arşi

M. NOVAC, ALICE VLADOIANU, MARIA STOICA, DANIELA CERNEA, L AFTINESCU

Disciplina ATI, Universitatea de Medicină şi Farmacie din Craiova

REZUMAT

Studiul efectuat asupra a 94 pacienţi cu injurii termice majore,a luat �n considerare at�t pacienţii cu suprafaţa arsă cuprinsă �ntre 30-95%, c�t şi pacienţii care au avut un grad de arsură IIb sau III, chiar daca suprafaţa arsă era cuprisă �ntre 20 şi 30%. Pacienţii care au avut arsuri mici, sub 20%, cei care au revenit pentru operaţii de plastie şi cei care au fost transferaţi �n alte centre au fos excluşi.

Supravieţuitorii au fost comparaţi cu pacienţii decedaţi �n vederea realizării unei corelaţii �ntre parametrii care pot fi implicaţi �n stabilirea unui prognostic vital. Variabilele decise a fi corelate la supravieţuitori şi pacienţii decedaţi au fost: v�rsta, sexul, prezenţa leziunilor inhalatorii, suprafaţa totală arsă,gradul arsurii, suprainfectarea plăgii, intervenţiile chirurgicale (excizii precoce, grefe de piele), necesitatea transfuziilor de s�nge, utilizarea unor indici prognostici.

CUVINTE CHEIE: agresiune termică, prognostic, supravieţuire

The analyses of certain parameters in order to establish the vital prognosis in burnt patients

ABSTRACT

The study made on 94 patients with severe thermic injuries , took in consideration not only the patients with a burnt area between 30-95% , but also the patients which had a degree of burning II b or III even if the burning area was between 20%- 30%. The patients which had the burning areas under 20% , , the ones that had returned for a plastic surgical operation and the ones that had been transferred in other centres had been excluded.

The survivals had been compared with the dead patients in order to establish a link (connection) between the parameters that can be involved in establishing a vital prognosis. The parameters that had been compared between the survivals and the dead patients had been: Age, sex, the presence of breathing injuries, the total burning area , the degree of burning, the severe infection of the wound, surgical interventions(early excisions, skin transplant), the necessity of blood transfusions, and the use of certain prognostic indicators.

KEY WORDS burn injury, prognostic, survival