Burn disease

Over and symptoms. In the period of burn disease distinguish periods of shock, severe toxemia, septicotoxemia, convalescence.
Burn shock may occur with burns of II-IV degree, occupying more than 10-15% of the body surface, or when Acting first degree greater than 50-60% of the body surface. In the period of burn shock identified and erectile torpid phase. For erectile phase is characterized by General arousal, increased blood pressure, increased respiration and pulse rate (with satisfactory filling). Erectile phase short and not always clearly expressed. It is often masked, only a euphoria at almost normal numbers of blood pressure. This period of imaginary well-being is often misleading physicians.
Torpid phase of shock usually detected only after 2-6 hour. after burn. Timely rational therapy can sometimes prevent its occurrence. Additional trauma and cooling fired during transportation, cleaning of burnt surface etc.), late and insufficient therapy contribute to the development of torpid phase, usually accompanied by arterial hypotension. The latter may be late in its development, and with the active early therapy is poorly expressed.
Violation of vascular tone and increased capillary permeability at burn shock lead to vypocetni liquid part of blood from the vascular bed. This entails tissue swelling, with burns of II degree - to the expiration of plasma surface Acting Almost constantly evolving oliguria, in severe cases, anuria. The result plasmopara occurs hemoconcentration determined by laboratory tests (increase haemoglobin levels and the number of red blood cells per volume, sometimes up to a significant digits). If you burn shock is often observed vomiting. Burn shock lasts for 24 to 48 hours, rarely longer.
Acute burn toxaemia. Clinically the beginning of the period determined by the onset of fever. Can prevail phenomena excitation (insomnia, motor anxiety, apnoea apnoea, dizziness, delusions) or braking (drowsiness, Zaporozhie state). Pulse frequent, weak filling. Loss of appetite. Oliguria replaced by polyuria, combined with the disappearance of oedema. Urine protein often, a little of red blood cells. In severe cases, flatulence, facial features sharpened skin is cold, marble painting at high temperature in the rectum. Hemoconcentration disappears and quickly grow anemia and hypoproteinemia. Appear leukocytosis and left shift in leukocytal composition. The duration of the period-4-12 days.
The period of septicotoxemia observed only with festering burn wounds. Thus burn toxaemia purchasing subacute course, combined with purulent-resorptive fever. True sepsis in burnt meets infrequently. The beginning of septicotoxemia is determined by a clinically significant suppuration burn. This period is characterized by fever relapsing-remitting or of the wrong type, loss of appetite, falling body weight, septic blood picture.
The recovery period is characterized by a decrease and the cessation of the effects of intoxication. Improves appetite. The weight of the body is stabilized and then increases. Improving the morphological composition of blood, disappear anemia and hypoproteinemia (dysproteinemia persists for a long time). Increase of reparative processes in wounds.
Burns to the respiratory tract are common, especially when Acting person in fires in enclosed spaces, in the explosions. They result from the combined effects of high temperature and combustion products. In severe cases there are a cough, hoarseness, sometimes aphonia. Burns to the respiratory tract facilitate the early occurrence of pneumonia, bronchiolitis, lung atelectasis.