اوﻟﯿﻦ ﮔﺰارش ﯾﮏ ﻣﻮرد ﺳﻮﺧﺘﮕﯽ ﺷﺪﯾﺪ ﺑﻼﻓﺎﺻﻠﻪ ﺑﻌﺪ از ﺳﮑﺘﻪ ﻣﻐﺰي

The First Case Report of Severe Burn Injury Immediately after Cerebrovascular Accident

وﻗﻮع آﺳﯿﺐ ﺳﻮﺧﺘﮕﯽ ﺑﻼﻓﺎﺻﻠﻪ ﭘﺲ از ﺳﮑﺘﻪ ﻣﻐﺰي ﯾﮏ ﺣﺎدﺛﻪ ﻧﺎدر اﺳﺖ. ﺑﯿﻤﺎر ﻣﻌﺮﻓﯽ ﺷﺪه ﯾﮏ ﻣﺮد 54 ﺳﺎﻟﻪ اﺳﺖ ﮐﻪ ﺑﻪ ﻋﻠﺖ ﺳﻮﺧﺘﮕﯽ ﺷﺪﯾﺪ ﻧﺎﺷﯽ از ﺷﻌﻠﻪ ﻫﻤﺮاه ﺑﺎ آﺳﯿﺐ اﺳﺘﻨﺸﺎﻗﯽ ﮐﻪ ﺑﻼﻓﺎﺻﻪ ﭘﺲ از ﺳﮑﺘﻪ ﻣﻐﺰي ﺣﺎدث ﺷﺪه ﺑﻮد در ﺑﯿﻤﺎرﺳﺘﺎن ﭘﺬﯾﺮش ﺷﺪ. درﻣﺎن اﯾﻦ ﺑﯿﻤﺎران از ﻣﻮارد ﭼﺎﻟﺸﯽ ﻣﯽﺑﺎﺷﺪ. درﻣﺎن ﻧﮕﻬﺪارﻧﺪه ﯾﺎ اﻗﺪام ﺟﺮاﺣﯽ اورژاﻧﺲ ﺑﺴﺘﮕﯽ ﺑﻪ ﺷﺮاﯾﻂ ﺑﯿﻤﺎر دارد. در ﺻﻮرت ﻋﺪم وﺟﻮد آﺳﯿﺐ اﺳﺘﻨﺸﺎﻗﯽ و ﭘﺎﯾﺪار ﺑﻮدن ﺷﺮاﯾﻂ ﺑﯿﻤﺎر ﺷﺎﯾﺪ اﻧﺠﺎم ارﻟﯽ اﮐﺴﯿﺰﯾﻮن و ﮔﺮاﻓﺖ در ﻫﻔﺘﻪ اول ﺑﻌﺪ از آﺳﯿﺐ ﻣﻨﺠﺮ ﺑﻪ اﻓﺰاﯾﺶ بقا بيمار گردد

Occurrence of sever burn injury immediately after cerebrovascular accident is a rare incident. We present a case of a 54-year-old man admitted to the hospital with a major flame burn and smoke inhalation just fallowing a stroke. Management of these patients is a challenging issue. Selection of conservative treatment or emergency care surgery depends on patient’s condition. In the absence of inhalation injury, performing early excision and grafting may increase survival if the patient’s condition was stable.