Chan K Y, Hairol O, Imtiaz H, Zailani M, Kumar S, Somasundaram S, Nasir-Zahari M
Division of Plastic & Reconstructive Surgery, Burns Unit, Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, 56000, Cheras, Kuala Lumpur.
Med J Malaysia. 2002 Dec;57(4):418-25.
This is a retrospective review of 110 patients admitted to the Burns Units between October 1999 and November 2001. The aim was to determine the burns pattern of patients admitted to hospital UKM. There was an increasing trend for patients admitted. Female to male ratio was 1:2. Children consisted 34% of the total admission. Children had significant higher number of scald burns as compare to adult (p < 0.01). Domestic burns were consist of 75% overall admission. Mean percentage of TBSA (total body surface area) burns was 19%. Thirty percent of patients sustained more than 20% of TBSA. Sixty percent of patients had scald burns. Ninety percents of patients with second degree burns that were treated with biologic membrane dressing or split skin graft. Mean duration of hospital stay was 10 days. Over 70% of patients were discharged within 15 days. Overall mortality rate was 6.3%. The patients who died had significantly larger area of burns of more than 20% TBSA (p < 0.05) and a higher incidence of inhalation injury (p < 0.02). Hence, this study suggests a need for better preventive measures by the authority to prevent burns related accident and the expansion of the service provided by the Burns Unit.
这是一项对1999年10月至2001年11月期间入住烧伤科的110例患者的回顾性研究。目的是确定马来西亚国立大学医院收治患者的烧伤模式。入院患者呈上升趋势。男女比例为1:2。儿童占总入院人数的34%。与成人相比，儿童烫伤数量显著更多（p<0.01）。家庭烧伤占总入院人数的75%。烧伤总面积（TBSA）的平均百分比为19%。30%的患者烧伤总面积超过20%。60%的患者为烫伤。90%的二度烧伤患者接受了生物膜敷料或自体皮移植治疗。平均住院时间为10天。超过70%的患者在15天内出院。总死亡率为6.3%。死亡患者的烧伤面积显著更大，超过20%TBSA（p<0.05），吸入性损伤发生率更高（p<0.02）。因此，本研究表明当局需要采取更好的预防措施以防止烧伤相关事故，并扩大烧伤科提供的服务。
