抄録
Analysis of 92 Cases. Gastrointestinal bleeding is thought to be the most common lifethreatening complication after thermal injury. The authors examined the relationship bet-ween thermal injury and gastrointerstinal bleeding in 92 patients admitted to Osaka University Hospital during six years from 1968 to 1973. 1. Gastrointestinal bleeding was found in 34 out of 92 burned patients (37.0%). The frequency was much higher than that in patients with head injury (79 in 491 cases, 16.1%) and in patients with other trauma (11 in 115cases, 9.6%) admitted at the same period. 2. The frequency of gastrointestinal bleeding in burned patients increased with extension of burn size, complication of sepsis or acidosis. 3. No relationship was found between gastrointe-stinal bleeding and the administration of corticoste-roids. 4. Gastrointestinal bleeding occurred within two days after thermal injury in 22 out of 34 cases(64.7 %), Only two patients (5.8%) complicated gastroi-ntestinal bleeding after one week. 5. Below 80% in burn size, the mortality rate was 80.8% in patients with gastrointestinal bleeding. In patients without gastrointestinal bleeding, howe-ver, it was 20.0%. These findings may indicate that gastrointestinal bleeding is an important factor which influences the prognosis of burned patients.
