一家烧伤中心的烧伤死亡率分析。
Analysis of burn mortality in a burns centre.
作者信息
Olaitan P B, Jiburum B C
机构信息
Burns and Plastic Surgery Unit, Department of Surgery, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Osun State, Nigeria.
出版信息
Ann Burns Fire Disasters. 2006 Jun 30;19(2):59-62.
We present an analysis of burn mortality in our burns centre in Nigeria. A total number of 285 patients sustained burns during the study period (1996-2000). Fifty-seven of the patients (20%) died, of whom 38 were male (66.7%) and 19 female (33.3%). Flame burn was responsible for 92.9% of the deaths, followed by 5.3% of deaths due to chemical burns and 1.8% to scalding. The highest mortality was found in the 71-80 yr age group, and survival decreased with increasing percentage burn surface areas. Mortality in males (20.8%) was higher than in females (18.6%), with flame burns causing produced more deaths than other aetiologies. The causes of deaths were acute renal failure (24 cases, 42.1%), septicaemia (18 cases, 31.6%), acute respiratory syndrome (5 cases, 8.7%), shock (4 cases, 7.0%), and upper gastrointestinal bleeding due to peptic ulcer and severe anaemia (1 case each, 1.8%). We conclude that improved facilities and better trained personnel will lead to a reduction in the current high mortality rate among burn patients in our environment.
我们对尼日利亚烧伤中心的烧伤死亡率进行了分析。在研究期间（1996 - 2000年），共有285名患者遭受烧伤。其中57名患者（20%）死亡，其中38名男性（66.7%），19名女性（33.3%）。火焰烧伤导致了92.9%的死亡，其次是化学烧伤导致5.3%的死亡，烫伤导致1.8%的死亡。最高死亡率出现在71 - 80岁年龄组，且随着烧伤表面积百分比的增加，存活率下降。男性死亡率（20.8%）高于女性（18.6%），火焰烧伤导致的死亡比其他病因更多。死亡原因包括急性肾衰竭（24例，42.1%）、败血症（18例，31.6%）、急性呼吸综合征（5例，8.7%）、休克（4例，7.0%）以及消化性溃疡和严重贫血导致的上消化道出血（各1例，1.8%）。我们得出结论，改善设施和提高人员培训水平将降低我们所在环境中烧伤患者目前的高死亡率。
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