XXXX for major burn injuries.

@entity1 @entity384 @entity299
PURPOSE: The early impact on the heart of severe burns has all been well documented previously. Here, we report on the late effects of burns upon the heart, and @entity384 , such aspects having been little reported previously in the literature. METHODS: Over the past 8 years (June 1991 to December 1998), 55 scalded or flame-burnt @entity1 for whom the total burnt body surface area (TBSA) exceeded 50% were treated. Seventeen @entity1 survived and were followed up. The mean age was 44 years. The mean follow-up period was 47.3 months; four @entity1 displayed a previous history of @entity299 . We used several parameters to evaluate and follow cardiac status to see the late effect of burns upon the heart. RESULTS: Of 17 @entity1 , 3 @entity1 (17.7%) were found to exhibit @entity384 after a mean time of 6 months post-injury. A dramatic recovery from symptoms and roentgenographic findings were observed for all @entity1 following symptomatic treatment. CONCLUSION: Here we report three cases of delayed @entity384 , a condition that has been little reported in the past. There may be many causating factors. Several recommendations are described.
