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master's thesis
Opeklinska bolest u djece
2022. urn:nbn:hr:184:727788
Dukić, Andrija
University of Rijeka
Faculty of Medicine
Department of Surgery

Cite this document

Dukić, A. (2022). Opeklinska bolest u djece (Master's thesis). Rijeka: University of Rijeka, Faculty of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:727788

Dukić, Andrija. "Opeklinska bolest u djece." Master's thesis, University of Rijeka, Faculty of Medicine, 2022. https://urn.nsk.hr/urn:nbn:hr:184:727788

Dukić, Andrija. "Opeklinska bolest u djece." Master's thesis, University of Rijeka, Faculty of Medicine, 2022. https://urn.nsk.hr/urn:nbn:hr:184:727788

Dukić, A. (2022). 'Opeklinska bolest u djece', Master's thesis, University of Rijeka, Faculty of Medicine, accessed 19 July 2024, https://urn.nsk.hr/urn:nbn:hr:184:727788

Dukić A. Opeklinska bolest u djece [Master's thesis]. Rijeka: University of Rijeka, Faculty of Medicine; 2022 [cited 2024 July 19] Available at: https://urn.nsk.hr/urn:nbn:hr:184:727788

A. Dukić, "Opeklinska bolest u djece", Master's thesis, University of Rijeka, Faculty of Medicine, Rijeka, 2022. Available at: https://urn.nsk.hr/urn:nbn:hr:184:727788

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Metadata
TitleOpeklinska bolest u djece
Title (english)Pediatric burn injury
AuthorAndrija Dukić
MentorAna Bosak Veršić (mentor)
Committee memberNado Bukvić (predsjednik povjerenstva)
Committee memberHarry Nikolić (član povjerenstva)
Committee memberAna Milardović (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Medicine
(Department of Surgery)
Rijeka
Defense date and country2022-07-15, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract
Opekline su ozljede kože ili drugih organa uzrokovane toplinom, radijacijom, električnom strujom, trenjem ili kontaktom s kemikalijama. Vrlo su česte u djece, a najčešće se radi o opeklinama zadobivenim kontaktom kože s vrućom tekućinom. Opekline se po dubini dijele na 4 stupnja. Opekline I° zahvaćaju samo epidermis i ne zahtijevaju liječenje. Opekline IIA° zahvaćaju epidermis i površni dio dermisa, a njihovo liječenje obično se sastoji u nježnom debridmanu, sprječavanju infekcije i osiguravanju vlažnog okoliša koji pogoduje reepitelizaciji. Opekline IIB° zahvaćaju epidermis i duboki dio dermisa. Liječenje se obično započinje konzervativnim metodama, a nastavlja kirurški u slučaju odgođenog cijeljenja. Opekline III° zahvaćaju punu debljinu kože. Osnovna metoda u njihovom liječenju je tangencijalna ekscizija do u zdravo s nadomještanjem defekta kožnim autotransplantatom djelomične ili pune debljine kože. Ova osnovna kirurška metoda može biti nadopunjena brojnim suvremenim načinima liječenja kao što su privremeni biosintetski dermalni nadomjesci, uzgojeni epitelni autotransplantat i autologna suspenzija kožnih stanica. Opekline IV° zahvaćaju duboka tkiva kao što su mišići i kosti, a liječenje je iznimno složeno i ovisi o zahvaćenim strukturama. Cirkumferentne opekline, inhalacijska ozljeda i infekcije opeklinske rane česti su u opečene djece, a zahtijevaju promptno liječenje jer bitno pridonose morbiditetu i mortalitetu. U liječenju djece s opeklinskom ozljedom posebnu pažnju valja posvetiti opeklinskoj bolesti, skupu patoloških sustavnih manifestacija opeklinske ozljede. Opeklinska je bolest patofiziološki kompleksna i zahvaća sve organske sustave, a njene su osnovne značajke hipermetabolizam, hipovolemija i velik rizik od nastanka sepse. Nadoknada volumena, nutritivna potpora i kontrola infekcija ključ su liječenja bolesnika s opeklinskom bolešću.
Abstract (english)
A burn is an injury to the skin or other organic tissue caused by heat, radiation, electricity, friction or contact with chemicals. Burns are common in children, with scalds caused by hot liquids being the most common form. Burns are traditionally divided into 4 degrees depending on the depth of skin involved. I° burns affect only the epidermis and do not require treatment. IIA° burns affect the epidermis and the superficial part of the dermis. They are usually treated by gentle debridement followed by providing a moist environment which enhances reepithelization. IIB° burns affect the epidermis and the deep layer of dermis. They can be treated by conservative methods but are usually treated surgically. III° burns affect full thickness of the skin. Tangential excision and grafting are usually implemented in treating patients with III° burns. IV° burns affect deep underlying tissues like muscle or bone. Their treatment depends on particular tissues involved. Circumferential burns, inhalation injury and infections of the burn wound are common in burnt children and require prompt treatment because of their significant contribution to morbidity and mortality. When treating children with severe burns, spotting early signs of pathological systemic manifestations is crucial. These manifestations are pathophysiologically complex and affect all organ systems, with hypermetabolism, hypovolemia and susceptibility to sepsis being particularly important. Volume resuscitation, nutritional support and infection control are key in treating patients with pathological systemic manifestations to a severe burn.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:727788
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2022-06-29 19:39:33