Düzgün Arife Polat, Senel Emrah, Ozmen M Mahir, Kulaçoğlu Hakan, Işik Yusuf, Coşkun Faruk
Ankara Numune Teaching and Research Hopital Department of 3rd Surgery, Ankara, Turkey.
Ulus Travma Acil Cerrahi Derg. 2003 Oct;9(4):250-6.
Burns constitute an important part of the accident-related deaths due to high morbidity and mortality.
The medical records of 778 (279 female) patients who were treated during last three years period were retrospectively analyzed concerning age, gender, the cause of the burn, the month when the burn occurred, admission date, duration of the hospital stay, area of the burn. The relationship between these parameters and the mortality was analyzed.
The average age of the patients was 20 years. The burns were related to accidents in 87% patients, abuse in 8%, co-morbid diseases in 3% and suicidal attempts in 2%. In 48% of the cases there were hot fluid burns and in 37% (284) fire-flames. The burns were due to electrical burns in 13% patients and to other reasons in the remaining 2%. One hundred and seventy - two patients had fatal courses. The mortality rate was 75% in 12 patients who were above 60 years. Average burn area was 24% (10-100) and average hospital stay was 13 days.
As most of the burns were due to accidents, the number of burns might be reduced by prioritizing preventive measures and better results could be obtained when the quality and the number of the burn centers is increased.
由于高发病率和死亡率,烧伤是事故相关死亡的重要组成部分。
回顾性分析了过去三年期间接受治疗的778例(279例女性)患者的病历,内容涉及年龄、性别、烧伤原因、烧伤发生月份、入院日期、住院时间、烧伤面积。分析了这些参数与死亡率之间的关系。
患者的平均年龄为20岁。87%的患者烧伤与事故有关,8%与虐待有关,3%与合并疾病有关,2%与自杀未遂有关。48%的病例为热液烧伤,37%(284例)为火焰烧伤。13%的患者烧伤是由电击伤引起的,其余2%是由其他原因引起的。172例患者病情致命。60岁以上的12例患者死亡率为75%。平均烧伤面积为24%(范围10%-100%),平均住院时间为13天。
由于大多数烧伤是由事故引起的,通过优先采取预防措施可以减少烧伤的数量,并且增加烧伤中心的数量和质量可以取得更好的效果。