Onarheim Henning, Guttormsen Anne Berit, Eriksen Einar
Kirurgisk serviceklinikk, Haukeland Universitetssykehus, 5021 Bergen.
Tidsskr Nor Laegeforen. 2008 May 15;128(10):1168-71.
The Burn Centre at Haukeland University Hospital has had a national burn function since 1984.
The following data were reviewed: area injured, age, sex, length of stay, mortality and county of residence for all admissions in the period 1984-2004.
1294 acute admissions for burns, chemical injuries or high-voltage injuries were identified. 71% of the patients were male. The mean age was 29.6 years; 24% were below 3 years of age. The mean (SD) area of injury was 19.5 +/- 18.3 % of the body surface area. 458 patients (35%) had burns involving less than 10% of the body surface area. The mean length of hospitalisation was 19.5 +/- 19.8 days. 140 patients (10.8%) died before discharge; these had a significantly higher age and injured area than the 1154 survivors. Every year there were 2-3 patients who had such extensive burns or substantial comorbidity that they only received palliative treatment. The probability of survival after a burn affecting 60% of the body surface, was around 50 % for all ages combined. On average 1.17 patients per 100.000 inhabitants were transferred annually from other parts of Norway for specialized treatment at this burn centre.
Despite societal focus on burn prevention measures there has been no reduction in the number of patients transferred to the burn centre during the 20-year period.
自1984年以来,豪克兰大学医院烧伤中心一直承担着全国性的烧伤救治职能。
回顾了以下数据:1984年至2004年期间所有入院患者的受伤面积、年龄、性别、住院时间、死亡率及居住县。
共确定了1294例因烧伤、化学伤或高压电伤的急性入院患者。71%的患者为男性。平均年龄为29.6岁;24%的患者年龄在3岁以下。平均(标准差)受伤面积为体表面积的19.5±18.3%。458例患者(35%)烧伤面积小于体表面积的10%。平均住院时间为19.5±19.8天。140例患者(10.8%)在出院前死亡;这些患者的年龄和受伤面积显著高于1154例幸存者。每年有2至3例患者烧伤面积过大或合并症严重,仅接受姑息治疗。所有年龄段患者烧伤面积达体表面积60%后的存活概率约为50%。挪威其他地区平均每年有每10万居民中有1.17名患者被转至该烧伤中心接受专科治疗。
尽管社会关注烧伤预防措施,但在这20年期间,转至烧伤中心的患者数量并未减少。