摘要：

We encountered a case of a 78-year-old man with extensive burns complicated by heparin-induced thrombocytopenia (HIT) who was treated with the application of bedside skin grafts (BSGs) . He had been injured while extinguishing a fire when his son died of suicide by self-immolation at home. On the first visit, second- (27.5%) and third-degree (20%) burns were observed on the head and neck, trunk, upper limbs, and left lower limb. After admission, he was suspected of having HIT, and heparin administration was discontinued. Blood tests were positive for anti-HIT antibodies, and echoangiography confirmed lower limb venous thrombosis. Therefore, he was treated with argatroban and underwent BSG application with anesthetic induction using ketamine. On the 77th day of hospitalization, the thrombus disappeared, and the patient's bed rest restrictions were discontinued. The burn wound healed after the application of five BSGs and the application of a skin graft on the face under general anesthesia. The patient eventually underwent gait rehabilitation and reconstruction for contracture of the facial wound. The patient was transferred to another hospital for the continuation of rehabilitation on the 250th day of hospitalization.

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