Children burn
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[Summarize] children burn is to show 12 years old of the following children get heating power (blaze, hot water, steam and high temperature solid) , the loss that the action such as electric energy, radioactivity and chemical material causes. Grow according to children growth phase cent is 5 period: New student period (be born - 28 days of) ; Infantile period (full moon - ) of 1 one full year of life; Infancy (1 - 3 years old of) ; School age early days (3 - 7 years old of) ; School age period (7 - 12 years old of) . Children burn sees the children before Yu Youer and school age more. Especially 1 - 4 years old of children. 50% what the occurence rate of children burn holds burn total number about. Burn reason, see for how with boiled water, blaze and congee burn. Report of our country of children burn mortality is about 18% , american report is 30% the left and right sides, common dead cause has the such as the shock, septicemia, pneumonic myositis that reach a heart [semiotic body disease] 1. Achieve ache. 2. Serious burn little patient can have shock show. Be like complexion iciness of cadaverous, limb, pulse is fine fast, the demote below blood pressure. 3. Achieve visible erythema, blain or eschar. [Diagnostic basis] 1. The estimation of children burn area: (1) neck is 9 ＋ (12 - age) ; Lower limbs is 46 - (12 - age) . Trunk and upper limbs and method of adult area estimation are same. (2) palm law: Ill the five fingers and approach, the size of one side palm is 1% . 2. The judgement of children burn deepness: Should special attention avoids to had estimated shallow, decide in detail the method sees this order the first. 3. The classification of children burn degree: (1) spends burn gently: Gross area is in 5% the following Ⅱ ° burn. (Burn spends in 2) : Gross area is in 5% - the Ⅱ ° burn of 15% . Or 5% the following Ⅲ ° burn. (3) spends burn again: Gross area 15% - the Ⅱ ° of 25% ; Or Ⅲ ° burn is in 5% - the burn of 10% . (4) spends burn again especially: Gross area is in the Ⅱ ° of 25% above; Or Ⅲ ° burn is in 10% above person. 4. The feature of children burn shock (burn of 1) coequal area, children shock relatively adult occurence rate is high, and more serious. (The clinical expression of 2) children is thirsty, move restlessly disturbed, even delirium or convulsions, little make water or anuresis, complexion is cadaverous, limb yellow or dried meat of cold, cyanosis, color of skin is purple, pulse is fine fast, hematic depress or side do not go out. [Remedial principle] 1. Break away from the source that cause an injury. 2. Shock of prevention and cure of compensatory blood capacity; Apply infection of antibiotic prevention and cure. 3. Composed and acetanilide. 4. Correct processing achieves a face. [Curative effect is evaluated] 1. Cure: Achieve heal, general case is good, exist without the complication that endangers life. 2. Did not heal: Achieve a face to did not cicatrization, or the complication that has burn be caused by exists. [The expert hints] children burn is the common disease in children scar and frequently-occurring disease, because this is in the cure of burn,have all in all sense. Children is in grow growth phase, all over the function of each system has not mature, its are anatomized, the characteristic that each respects such as physiology, pathology physiology have move and adult to differ, footy small area burn is for a few pairs of adults, cause serious consequence possibly also on children body sometimes, because this is in daily life,cannot treat children as simply adult epitome. After children burn, want to send hospital cure in time sick child, what cannot neglect children is alleged " small area burn " and cause the consequence that redeems hard. What treat because of burn hind is seasonable, affect disease directly life and prognosis.
