Abstract
It has been recognized that the burn is one of the most important trauma in the field of emergency medicine. The treatment of the burn shock consisted of the fluid therapy, serum electrolyte control and application of new topical creams which are claimed for effective in treat-ment of Gram-negative infection have been widely adopted in clinical aspect of burn treatment. Above all, one of the most remarkable change is a decrease of the burn wound sepsis due to the improvement of topical applications of sulfamylon cream and silver sulfadiazine, and an increase of the pulmonary complications, such as pneumonia, pleuritis, pulmonary edema etc.. Importance of pulmonary complication is well recognized by many surgens. However, patho-physiological analysis of it is rather scanty. From this point of view, the author tried to elucidate a pathological changes of the lung of critically burned patients who had received treatment and died at Kyorin Medical School and Tokyo Women's Medical School from 1972 to 1976 respectively.
