Serour Francis, Gorenstein Arkadi, Boaz Mona
Department of Pediatric Surgery, Wolfson Medical Center, Holon, Israel.
Isr Med Assoc J. 2008 Apr;10(4):282-6.
Reports of burn injuries in children are usually made by highly specialized burn units. Our facility admits children with burns covering < 20% total body surface area, while those with major burns are transferred to burn units at tertiary care facilities.
To review our experience with thermal burns.
We conducted a retrospective review of all thermal burns admitted to our hospital during a 5 year period.
Among 266 patients (69.2% boys) aged 3.5 +/- 3.6 years, children < 3 years old were the most frequently injured (64.7%). Scalds (71.4%) were the most common type of burn. Partial thickness burns were sustained by 96.6% of children and TBSA burned was 4.2 +/- 3.6%. The mean hospital stay was 3.8 +/- 4.5 days, and was significantly prolonged in girls (4.6 +/- 4.8 vs. 3.5 +/- 4.3 days, P = 0.01). Percent TBSA burned was correlated with patient age (r = 0.12, P = 0.04) and length of hospital stay (r = 0.6, P < 0.0001). Six patients (2.3%) (mean age 3.4 +/- 2.3 years) were hospitalized in the Pediatric Intensive Care Unit due to toxin-mediated illness.
Children under the age of 3 years are at increased risk for burn injury, but older children sustain more extensive injuries. Prevention and awareness are needed for child safety.
儿童烧伤报告通常由高度专业化的烧伤科室提供。我们的机构接收全身烧伤面积小于20%的儿童，而重度烧伤儿童则被转至三级医疗机构的烧伤科室。
回顾我们治疗热烧伤的经验。
我们对我院5年内收治的所有热烧伤患者进行了回顾性研究。
266例患者（69.2%为男孩），年龄3.5±3.6岁，3岁以下儿童受伤最为频繁（64.7%）。烫伤（71.4%）是最常见的烧伤类型。96.6%的儿童为浅度烧伤，烧伤总面积为4.2±3.6%。平均住院时间为3.8±4.5天，女孩的住院时间显著延长（4.6±4.8天对3.5±4.3天，P = 0.01）。烧伤总面积百分比与患者年龄相关（r = 0.12，P = 0.04），与住院时间相关（r = 0.6，P < 0.0001）。6例患者（2.3%）（平均年龄3.4±2.3岁）因毒素介导的疾病入住儿科重症监护病房。
3岁以下儿童烧伤风险增加，但年龄较大的儿童烧伤范围更广。需要加强儿童安全的预防和意识。
