Bandele E O, Akinyanju O O, Bojuwoye B J
Department of Medicine College of Medicine, University of Lagos, Nigeria.
J Natl Med Assoc. 1991 Jan;83(1):55-8.
Between 1974 and 1984, 418 patients with tetanus, aged 10 years and older, represented 64.8% of all admissions to the intensive care unit of the Lagos University Teaching Hospital. Students accounted for the largest single group with tetanus, which mainly occurred during the dry season. There was a male preponderance (1.4 to 1), but no appreciable sex influence on mortality rates (46.1% for men; 44.6% for women). The mean mortality rate was 45.5%, with the highest mortality occurring in the elderly. Other high risk factors identified were neck and head injuries, post abortal or post partum states, hyperpyrexia, and tachycardia.
1974年至1984年间,418例10岁及以上的破伤风患者占拉各斯大学教学医院重症监护病房所有入院患者的64.8%。学生是破伤风患者中最大的单一群体,破伤风主要发生在旱季。男性占优势(男女比例为1.4比1),但性别对死亡率没有明显影响(男性死亡率为46.1%;女性死亡率为44.6%)。平均死亡率为45.5%,老年人死亡率最高。其他确定的高风险因素包括颈部和头部损伤、流产后或产后状态、高热和心动过速。