Josty I C, Narayanan V, Dickson W A
Welsh Regional Centre for Burns and Plastic Surgery, Swansea, Wales.
Epilepsia. 2000 Apr;41(4):453-6. doi: 10.1111/j.1528-1157.2000.tb00188.x.
To determine the epidemiology of burns in patients with epilepsy and to identify changes in epidemiology compared with previous studies; to identify further strategies that can be used in the primary and secondary prevention of such injuries in this group of patients.
A retrospective case note review of 111 patient episodes to a regional burns unit where the admission criterion was a burn secondary to an epileptic seizure.
The majority (60 of 111) of burns were due to scald injury and were sustained in a domestic setting. This group of patients (mean age, 42.7 years) accounted for 1.6% of admissions during the study period. The data demonstrate a change in the epidemiology when compared with previous studies. Most burns were small (mean area burnt, 2.2%) but deep, and 72 of 111 patient episodes required surgery, and 12% of patients had reburn injuries requiring readmission.
Scald injuries are now the major cause of burns in those with epilepsy, and the proportion of such patients admitted to a regional burns unit has reduced. Patients and health professionals need to be aware of such injuries and of appropriate prevention strategies.
确定癫痫患者烧伤的流行病学特征，并找出与以往研究相比流行病学特征的变化；确定可用于该组患者此类损伤一级和二级预防的进一步策略。
对一家地区烧伤科的111例患者病历进行回顾性分析，入院标准为癫痫发作继发烧伤。
大多数烧伤（111例中的60例）是烫伤，发生在家庭环境中。该组患者（平均年龄42.7岁）占研究期间入院人数的1.6%。与以往研究相比，数据显示了流行病学特征的变化。大多数烧伤面积较小（平均烧伤面积2.2%）但深度较深，111例患者中有72例需要手术，12%的患者有再次烧伤需要再次入院。
烫伤现在是癫痫患者烧伤的主要原因，入住地区烧伤科的此类患者比例有所下降。患者和卫生专业人员需要意识到此类损伤以及适当的预防策略。
Zotero 插件