[Early respiratory involvement in burns. Mechanism and prognostic significance]

A retrospective study, on 87 flame burn patients, of arterial Pa02, chest X-ray and lactic dehydrogenase isoenzyme III revealed the very early onset (before the 24th hour) of severe respiratory problems. This involvement, with a severe prognostic significance, appears to be much more closely related to the extent of the cutaneous burn than to the inhalation of fumes or vapours, and seems to fall into the more general category of "post-aggression lung".