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Revista Archivo Médico de Camagüey

versão On-line ISSN 1025-0255

Resumo

MOYA-ROSA, Enrique Joaquín; FRIA-PEGUERO, Anny Johana  e  SERRA-REYES, Delvis. Alterations of the lipidic fraction in the patient burnings. Arch méd Camagüey [online]. 2023, vol.27  Epub 06-Jul-2023. ISSN 1025-0255.

Introduction:

The lipid alterations constitute a marker of bad forecast and in recent times it has run for candidate like biological marker in the evolution of the big burnt patients.

Objective:

To determine the alterations of the lipid fraction in the burned patients.

Methods:

An analytic, prospective and of longitudinal study was carried out for the sake of determining the alterations of the lipid fraction in the burned patient entered in the Hospital Universitario Manuel Ascunce Domenech of the city Camagüey, in the period understood since January of the 2019 to the month of February of 2022. They studied 30 patients in those who had into account variables: Severity rate, the figures of the serum cholesterol and of the triglycerides, the percent of corporal burned-out surface, the lipid patterns, the sepsis and the state to the medical release.

Results:

The half a lower amounts of serum cholesterol and the figures the more tall stockings of triglycerides happened in those patients with over 30 percent of corporal burned-out surface. In the patients with severity rate of very severe, critic and the extreme critic was where lower the figures of cholesterol got registered. In the evolutionary periods of seven to 14 days the states of tall triglycerides met fundamentally very seriously ill patients' groups, and critic extreme with five patients in each group, what represents the 16.67 % and four critical patients for the 13.33 %. Of the total of the patients studied, in 13 of them a lipid pattern educated by cholesterol bass with tall triglycerides showed up, and 40 % of this group presented sepsis.

Conclusions:

The great burned-out patients present important alterations in the metabolism of the lipids with unfavorable consequences in their evolution.

Palavras-chave : BURNS; LIPID METABOLISM DISORDERS; PROGNOSIS; INPATIENTS; MORTALILY.

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