Friedman Tal, Shalom Avshalom, Westreich Melvin
Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.
Ann Plast Surg. 2007 Jun;58(6):622-4. doi: 10.1097/01.sap.0000250844.75189.da.
During the last few years, a unique group of patients was recognized among the burn patients treated in our institution. They were all young men with small, isolated, lower-extremity burns that, in appearance, were not compatible with the claimed etiology. In an attempt to characterize these patients, we retrospectively screened the charts of all isolated lower extremity burn patients in our Plastic Surgery Department during a 2-year period, comparing the suspicious burns to our other patients. We found that there were 25 patients out of 56 that were suspected of having self-inflicted burns. All the patients in this group were male soldiers, with a mean age of 19.5 years. The length of hospitalization per percentage of burn was longer in these patients than in the other patients. We feel that this group of patients is a recognizable subunit that should be treated both by physicians and psychologists.
在过去几年里，我们机构治疗的烧伤患者中发现了一组独特的患者群体。他们都是年轻男性，下肢有小面积、孤立的烧伤，从外观上看，与所声称的病因不符。为了对这些患者进行特征描述，我们回顾性筛查了整形科在两年期间所有孤立下肢烧伤患者的病历，将可疑烧伤患者与其他患者进行比较。我们发现，56名患者中有25名被怀疑是自残性烧伤。该组所有患者均为男性士兵，平均年龄19.5岁。这些患者每烧伤百分比的住院时间比其他患者更长。我们认为这组患者是一个可识别的亚群体，医生和心理医生都应对其进行治疗。
