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土耳其南部的烧伤情况:电烧伤仍然是一个主要问题。

Burns in southern Turkey: electrical burns remain a major problem.

作者信息

Nursal T Z, Yildirim S, Tarim A, Caliskan K, Ezer A, Noyan T

机构信息

Department of General Surgery, Başkent University Adana Teaching and Medical Research Hospital, Turkey.

出版信息

J Burn Care Rehabil. 2003 Sep-Oct;24(5):309-14. doi: 10.1097/01.BCR.0000085876.28504.EE.

Abstract

In Turkey, burns represent a relatively small number of injuries overall, but they continue to be a major public health problem. Our aim in this study was to identify risk factors that affect outcome in burn patients hospitalized in the southern part of our country, with special emphasis on electrical burns. The database for 109 burn patients who were admitted to our burn center from April, 2000, through August, 2001, was retrospectively analyzed. Electrical injury was the cause of burn in 23 (21%) of the 109 cases. The burn causes differed among age groups and between the sexes, with males constituting 95% of the electrical burn patients. The mortality rate for the electrical burn group was lower than the rate for the rest of the burn patients (1/23 vs 17/86, respectively; P <.001); however, the opposite was true for complication rate (10/23 vs 5/86, respectively; P <.001), cost of treatment (8351 US dollars vs 5122 US dollars, respectively; P =.009), and length of hospital stay (39.9 vs 26.2 days, respectively; P < 0.001). The rate of electrical burn injury in Turkey has changed very little in the past two decades. This underlines the need for stronger efforts aimed at prevention, such as better public education and strict regulations regarding the distribution and use of electricity.

摘要

在土耳其,烧伤在所有损伤中所占比例相对较小,但仍是一个重大的公共卫生问题。我们这项研究的目的是确定影响我国南部住院烧伤患者预后的危险因素,尤其侧重于电烧伤。我们回顾性分析了2000年4月至2001年8月入住我们烧伤中心的109例烧伤患者的数据库。109例病例中有23例(21%)烧伤原因是电损伤。烧伤原因在不同年龄组和不同性别之间存在差异,电烧伤患者中男性占95%。电烧伤组的死亡率低于其他烧伤患者组(分别为1/23和17/86;P<.001);然而,并发症发生率(分别为10/23和5/86;P<.001)、治疗费用(分别为8351美元和5122美元;P=.009)以及住院时间(分别为39.9天和26.2天;P<0.001)则相反。在过去二十年里,土耳其的电烧伤发生率变化很小。这突出表明需要加大预防力度,比如加强公众教育以及对电的分配和使用制定严格规定。

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