Ince Haluk, Kandemir Eyüp, Ince Nurhan, Güloğlu Recep, Safran Nurhas
Department of Forensic Medicine, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.
Ulus Travma Acil Cerrahi Derg. 2008 Apr;14(2):145-8.
Burn traumas resulting from industrial accidents may generate a death risk. In such cases a forensic report should be filled up. In forensic findings, the death risk which is associated with the degree of trauma, of the victim is as important as the treatment of the subject. The aim of our research was to investigate what degree of burns causes fatality and which type of industrial accidents cause them.
This research was done between the dates October 2004 and December 2006 with the descriptive epidemiology method by the evaluation of all data entered emergency surgical room- burn unit. The results of the study were analyzed with respect to its socio-demographic characteristics clinical findings of the type of burn and the type of the event which caused the burn. Categorical variables were assessed using Chi-square test, continuous variables were tested by Pearson's correlation.
For the total 128 incidents, 69.5% (n=89) were males and 30.5% (n=39) females. 28.9% (n=37) of the incidents were industrial accidents. 48.6% (n=18) of the burns were caused by boiling water, 32.4% (n=12) due to contact by flame, 10.8% (n=4) electrocution and %8.2 (n=3) due to burns by contact with chemicals. The 19.50% (n=25) of the incidents had ended up by loss of life, 80.5% (n=103) were cured and discharged. The incidents which had resulted under 20%, the mortality rate was 1.3% (n=1), the incidents which had above 20%, the mortality rate was 49.0% (n=24) (p=0.0001).
The degree of burn was found to be valuable in determining the death risk but the extent of the burned area was found to be more deterministic in assessing this particular risk.
工业事故导致的烧伤创伤可能会带来死亡风险。在这种情况下,应填写法医报告。在法医调查结果中,与受害者创伤程度相关的死亡风险与对该对象的治疗同样重要。我们研究的目的是调查何种程度的烧伤会导致死亡以及哪种类型的工业事故会引发此类烧伤。
本研究于2004年10月至2006年12月期间进行,采用描述性流行病学方法,对所有进入急诊外科烧伤病房的数据进行评估。研究结果根据其社会人口学特征、烧伤类型的临床发现以及导致烧伤的事件类型进行分析。分类变量采用卡方检验进行评估,连续变量采用Pearson相关性检验。
在总共128起事件中,69.5%(n = 89)为男性,30.5%(n = 39)为女性。28.9%(n = 37)的事件为工业事故。48.6%(n = 18)的烧伤由沸水引起,32.4%(n = 12)由火焰接触引起,10.8%(n = 4)由触电引起,8.2%(n = 3)由接触化学品烧伤引起。19.50%(n = 25)的事件以死亡告终,80.5%(n = 103)治愈出院。烧伤面积低于20%的事件,死亡率为1.3%(n = 1),烧伤面积高于20%的事件,死亡率为49.0%(n = 24)(p = 0.0001)。
发现烧伤程度在确定死亡风险方面具有重要价值,但在评估这一特定风险时,烧伤面积的大小更具决定性。