TÇCD 2012 30th Annual Congress of Turkish Pediatric Surgical Association

Burns in neonates have been reported following the use of water warmers, pulse oximeters, various electrodes, chemical disinfecting agents and phototherapy blankets. Major full skin thickness burn injuries in neonates and infants are very rare reports. This case reports on a burn injury of full skin thickness in one preterm neonate male who was admitted to the Birth and Children Hospital. Burn injuries were noticed one day after the delivery. This infant, weighing 4000 g, had an injury of 15% TBSA on his dorsum, arm and buttocks. The infant was transported to the Training and Research Hospital.

Fluid resuscitation, analgesic therapy, and enteral feeding were started immediately. At the seventh day after the injury appeared, surgical procedures began. The eschar was excised, and 7 days after the excision, the wounds were grafted with 0.1 mm thickness skin grafts. Ten days after the grafts, all the grafted wounds were found epithelized.

We conclude that in neonates and infants, relatively low temperatures may cause deep burn injuries. We therefore recommend the delivery of preterm childbirths at well equipped facilities with staff who are qualified to nurse premature neonates.

Yenidoğanlarda ısıtıcı, pulse oksimetre, elektrot, kimyasal antiseptik, fototerapiye bağlı yanıklar bildirilmiştir. majör tam kat yanıklar yenidoğan ve erken infantlarda nadir görülmektedir. Doğum ve çocuk hastanesinde major yanık oluşan olgu sunulmuştur. İnfant 4000 gr ağırlığında sırt laterali, kol ve uylukta lokalize total vücut alanının %15'i yanmış idi. Hasta buradan Eğitim ve Araştırma Hastansi Yanık Tedavi Ünitesine transfer edilmiş, acilen sıvı-elektrolit, analjezik ve enteral beslenmeye başlanmıştı. 7. gün skar eksizyonu 14. gün 0.1 mm. deri greftlemesi yapılmıştır.

İnfantlarda ve yenidoğanlarda düşük ısı bile derin yanık oluşturabilmektdeir. Bu sebeple yenidoğan bakımında cihazların kullanımı ve hemşire bakımı dikkatle yapılmalıdır.