MacArthur J D, Moore F D
JAMA. 1975 Jan 20;231(3):259-63.
Predisposition to burning was identified by history, by conversation with the family, or by physical examination. Factors that decreased the patient's ability to respond appropriately were considered as predisposing. A consecutive series of 155 hospitalized, burned, adult patients was reviewed. Approximately 50 per cent of the entire series showed predisposition to burning; among the more severe burns, this fraction was 57 percent. Among women, predisposition was more prominent in all categories than among men. Among women, those predisposed to burning had larger burns and a greater likelihood of dying. Alcoholism led the list of predisposing factors, with senility, psychiatric disorders, and neurological disease following in order. The patient's own home was usually the site of the burn in those predisposed, with the initial ignition being in the patient's hair or clothing, the mattress, bedclothes, or an overstuffed chair. All of the burns occurring in hospital or mental institution patients were among those predisposed to burning.
通过病史、与患者家属交谈或体格检查来确定易发生烧伤的倾向。那些降低患者做出适当反应能力的因素被视为易患因素。对连续收治的155例成年烧伤住院患者进行了回顾性研究。整个系列中约50%的患者表现出易发生烧伤的倾向；在较严重的烧伤患者中，这一比例为57%。在所有类别中，女性比男性更容易出现易患倾向。在女性中，易发生烧伤的患者烧伤面积更大，死亡可能性更高。酗酒是首要的易患因素，其次是衰老、精神障碍和神经疾病。在易发生烧伤的患者中，烧伤通常发生在患者自己家中，最初起火点是患者的头发或衣物、床垫、床上用品或填充过度的椅子。所有发生在医院或精神病院患者身上的烧伤都发生在易发生烧伤的患者中。
