Al Behçet, Yildirim Cuma, Coban Sacit, Aldemir Mustafa, Güloğlu Cahfer
Department of Emergency Medicine, Gaziantep University Faculty of Medicine, Gaziantep, Turkey.
Ulus Travma Acil Cerrahi Derg. 2009 Nov;15(6):599-606.
Our aim was to evaluate the effective factors on mortality in flame and scald burns in the Diyarbakir region.
The data of 816 patients who applied to the Dicle University Emergency Department between January 2001 and May 2005 with flame and scald burns were investigated retrospectively. The patients were separated into two groups as alive or deceased. Gender, age, burns shapes, burn degrees and rates, burn regions, admission periods, hospitalization times, complications, and the treatments were analyzed.
43.5% of the patients were female and 57.5% were male. Six hundred fifty-eight patients were under 6 years old. 70.5% of burns occurred as a result of negligence; 76.5% occurred due to scald and 23.5% due to flame. In cases of death, 39 patients were under 10 years old. The mean age was 9.32 years. The average hospitalization period was 10.37 days. The most common complication was wound infection. The mortality rate was 6.1%.
The mortality rate was higher among patients who were hospitalized longer than 15 days (p = 0.030); whose burns were due to suicide attempt (p = 0.002); who used shoe paint on the burn wounds instead of treatment (p = 0.000); who had more than 40% second-degree burns (p = 0.000) or more than 20% third-degree burns (p = 0.000); and among those with acute respiratory failure, compartment syndrome, hypoalbuminemia, and sepsis (p = 0.000).
我们的目的是评估迪亚巴克尔地区火焰烧伤和烫伤患者死亡的影响因素。
回顾性调查了2001年1月至2005年5月期间因火焰烧伤和烫伤到迪克莱大学急诊科就诊的816例患者的数据。将患者分为存活组和死亡组。分析了患者的性别、年龄、烧伤类型、烧伤程度和比例、烧伤部位、入院时间、住院时间、并发症及治疗情况。
43.5%的患者为女性，57.5%为男性。658例患者年龄在6岁以下。70.5%的烧伤是由于疏忽造成的；76.5%是烫伤，23.5%是火焰烧伤。死亡病例中，39例患者年龄在10岁以下。平均年龄为9.32岁。平均住院时间为10.37天。最常见的并发症是伤口感染。死亡率为6.1%。
住院时间超过15天的患者死亡率较高（p = 0.030）；因自杀企图导致烧伤的患者死亡率较高（p = 0.002）；烧伤伤口未进行治疗而是使用鞋油的患者死亡率较高（p = 0.000）；二度烧伤超过40%（p = 0.000）或三度烧伤超过20%（p = 0.000）的患者死亡率较高；以及患有急性呼吸衰竭、骨筋膜室综合征、低蛋白血症和脓毒症的患者死亡率较高（p = 0.000）。
