Citation

Boĭcheva A, Kostova S, Mikhaĭlova V. Khirurgiia 1989; 42(1): 82-85.

Vernacular Title

Vurkhu khimicheskite izgarianiia na trakheobronkhialnoto durvo v detskata vuzrast

Copyright

(Copyright © 1989, Meditsina I Fizkultura)

DOI

unavailable

PMID

2761184

Abstract

A rare case of chemical burn of the tracheobronchial tree with powdered NaOH in a child is reported. In the course of the disease there were several periods of acute respiratory failure (ARF), requiring respiratory resuscitation with intubation, mechanical ventilation, aspiration and kinesitherapy. The chemical burn was followed by several hours of imaginary well-being, but subsequently pulmonary edema developed. On the fifth day obstruction of the air passages by secretions and mucosal hyperemia led again to acute respiratory failure. On the 15. day bleeding from the mucosa of the respiratory and gastrointestinal tracts developed, which incited again ARF. Such periodic deteriorations, leading to ARF after chemical burns, have been reported in the literature. They require recurrent respiratory resuscitation of different degree and form. Knowledge of these period in the pathologic process, leading to ARF and the adequate respiratory resuscitation are prerequisite for a favourable outcome of the morbid process.

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