11 cases of burns complicated by glomerular diseases,.docVIP

 PAGE \* MERGEFORMAT 7 11 cases of burns complicated by glomerular diseases, [Keywords:] Burn; chronic glomerulonephritis; nephrotic syndrome Burn patients, especially in moderate to severe burn patients with protracted, lengthy course of treatment, during treatment concurrent glomerular disease is not uncommon [1], and the clinical manifestations, malaise, now our hospital 11 cases of burn patients complicated with glomerular diseases The clinical and pathological data analysis report is as follows. A clinical data 1.1 General Information 11 patients, 10 males and 1 female, aged 12 to 50 years old, with an average 32 years old. Flame burns for the following reasons (5 cases), water, paint, molten iron, dye, gas, cement, thermal materials. Burned a total area of 35% to 95%, an average of 54.2%, the most weight up to 95%. Ⅲ degree area of 10% ~ 82%, an average of 33.6%. All patients with wounds, catheters and (or) blood samples were positive for bacterial culture, of which: 12 cases of Staphylococcus aureus, Pseudomonas aeruginosa and four cases of times, 2 cases of Escherichia coli, Acinetobacter baumannii pneumonia Klebsiella, Proteus in 1 case times. The use of plasma in 11 cases, an average of 6 330 ml / cases. After cutting scab, skin grafting and other surgical in 11 cases; the use of cryopreserved allograft skin in 8 cases, with the genes of fresh allograft skin in 1 case. Diagnosis from the injury time: 36 ~ 202 d, because the result of plastic surgery at the burn patient or re-admitted to hospital during or after discharge from hospital to hospital because of edema and other reasons for inspection seven cases diagnosed as nephrotic syndrome, chronic glomerulonephritis in 4 cases. Were excluded allergic purpura, hepatitis B virus infections caused by secondary glomerulonephritis. 4 cases of chronic glomerulonephritis in two cases showed varying degrees of edema and proteinuria, hematuria, and 1 case showed gross hematuria, 1 patient performance of