WordNet

any physical damage to the body caused by violence or accident or fracture etc. (同)hurt, harm, trauma
an act that causes someone or something to receive physical damage
wrongdoing that violates anothers rights and is unjustly inflicted
an accident that results in physical damage or hurt (同)accidental injury
of or relating to a hot spring; "thermal water"
rising current of warm air
relating to or associated with heat; "thermal movements of molecules"; "thermal capacity"; "thermic energy"; "the caloric effect of sunlight" (同)thermic, caloric
caused by or designed to retain heat; "a thermal burn"; "thermal underwear"
a unit of heat equal to 100,000 British thermal units

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1. 成人における中等度および重度熱傷の救急治療 emergency care of moderate and severe thermal burns in adults
2. 熱傷の分類 classification of burns
3. 煙の吸入 smoke inhalation
4. 軽症熱傷の治療 treatment of minor thermal burns
5. 婦人科腹腔鏡下手術の合併症 complications of gynecologic laparoscopic surgery

Prognosis of phrenic nerve injury following thoracic interventions: Four new cases and a review.

Ostrowska M, de Carvalho M.SourceDepartment of Neurology, Jagiellonian University Medical College, Krakow, Poland.
Clinical neurology and neurosurgery.Clin Neurol Neurosurg.2012 Apr;114(3):199-204. Epub 2012 Jan 4.
INTRODUCTION: Phrenic nerve lesion is a known complication of thoracic surgical intervention, but it is rarely described following thymectomy and lung surgery.OBJECTIVE: To review the literature on thoracic intervention and phrenic nerve lesion and to describe four new cases, in which regular neurop
PMID 22221740

Co-solvent mediated thermal stabilization of chondroitinase ABC I form Proteus vulgaris.

Nazari-Robati M, Khajeh K, Aminian M, Fathi-Roudsari M, Golestani A.SourceDepartment of Clinical Biochemistry, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
International journal of biological macromolecules.Int J Biol Macromol.2012 Apr 1;50(3):487-92. Epub 2012 Jan 17.
Chondroitinase ABC I (cABC I) from Proteus vulgaris cleaves glycosaminoglycan chains which are responsible for most of the inhibition of axon regrowth in spinal cord injury. The clinical utilization of this enzyme is mainly limited by its thermal instability. This study has been undertaken to determ
PMID 22274395

The importance of pharmacokinetic consultation of cefepime treatment for Pseudomonas aeruginosa bacteremia : a case report of severe thermal burn injury

AOKI Yosuke,URAKAMI Toshiharu,MAGARIFUCHI Hiroki,NAGASAWA Zenzo,NAGATA Masaki,FUKUOKA Mami
Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy 17(3), 407-411, 2011-06-01
NAID 10029365130

10-15%を超えた場合、重症熱傷として全身管理が必要になる。

4ml x 熱傷面積 (%) x 体重 (kg) = 補液量 (ml/day)

最初の8時間で1/2を、次の16時間で1/2を輸液する

1. [charged] Emergency care of moderate and severe thermal burns in adults - uptodate [1]

初期治療には輸液が大切。だけど、入れ過ぎも問題だからちゃんと計算して輸液しろ。なにが問題って、血圧上昇、腹部、四肢、眼窩のcompartment syndromeが起こる。
最初は晶質液をいれる。高Cl性アシドーシスのリスクがあるから乳酸リンゲルがよい。
治療の初期段階で膠質液や高張生食を使うかどうかについては議論中。膠質液(アルブミン、デキストラン)は非常に高いし、生命予後を改善しないから推奨されない。