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对1083名土耳其重度烧伤患者的回顾性分析。

A retrospective analysis of 1083 Turkish patients with serious burns.

作者信息

Anlatici R, Ozerdem O R, Dalay C, Kesiktaş E, Acartürk S, Seydaoglu G

机构信息

Department of Plastic and Reconstructive Surgery, Adana Hospital, Baskent University, Adana, Turkey.

出版信息

Burns. 2002 May;28(3):231-7. doi: 10.1016/s0305-4179(01)00095-x.

DOI:10.1016/s0305-4179(01)00095-x
PMID:11996853
Abstract

A total of 1083 burn cases hospitalised at a burn center between August 1988 and the end of 1997 were studied retrospectively to determine the factors and demographic features associated with burn injury in Turkey. The means for patient age and percent total body surface area (TBSA) burned were 18.1 years and 31.2%, respectively (medians were 14.0 years and 25.0%, respectively). Burn injuries were more common in winter and spring, and most occurred in the home. The majority of patients were city dwellers, and had been referred from public hospitals. There was a predominance of male patients (71.9%) in the study population, but the proportions of children and adults were equal. Almost half of the males and the majority of the females were children/students. The vast majority of female adults were housewives, and most of the men were employed outside the home. More than half of the patients suffered second-degree burns, and the others all had deeper burn injuries. The most frequent cause of burn in the study population was flame. Children mainly suffered from scalding, and adults from flame and electrical burns. There were no differences between the sexes regarding depth of burn; whereas percentage total burned surface area was higher in females. Children had a lower mean TBSA and lower rate of third-degree burns. Mortality rate of the study population was 33.5%. The study results identified various risk factors and the groups at high risk for serious burns and indicated some ways that prevention programmes can be improved.

摘要

对1988年8月至1997年底在一家烧伤中心住院的1083例烧伤病例进行了回顾性研究,以确定与土耳其烧伤相关的因素和人口统计学特征。患者的平均年龄和烧伤总面积(TBSA)百分比分别为18.1岁和31.2%(中位数分别为14.0岁和25.0%)。烧伤在冬季和春季更为常见,且大多发生在家中。大多数患者是城市居民,且是从公立医院转诊而来。研究人群中男性患者占多数(71.9%),但儿童和成人的比例相等。几乎一半的男性和大多数女性是儿童/学生。绝大多数成年女性是家庭主妇,大多数男性在外工作。超过一半的患者为二度烧伤,其他患者均有更深程度的烧伤。研究人群中最常见的烧伤原因是火焰。儿童主要遭受烫伤,成人主要遭受火焰烧伤和电击伤。烧伤深度在性别之间没有差异;而女性的烧伤总面积百分比更高。儿童的平均TBSA较低,三度烧伤率也较低。研究人群的死亡率为33.5%。研究结果确定了各种危险因素以及严重烧伤的高危人群,并指出了一些可以改进预防方案的方法。

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