Virich G, Lavy C B D
Queen Elizabeth Central Hospital, Blantyre, Malawi.
Ann Burns Fire Disasters. 2006 Dec 31;19(4):171-3.
To describe burns seen at the largest hospital in Malawi.
In a prospective study conducted at Queen Elizabeth Central Hospital, Blantyre, Malawi, a series of twelve accidental burns was analysed over a four-week period.
Hot water was the commonest source of burns (6 out of 12). Open-fire and petroleum lamp accidents were the commonest cause of burns among epileptic patients. Males were affected more than females (male:female ratio = 8:4). Most burns were superficial (11 out of 12). One patient had deep burns requiring grafting. All patients were treated with topical silver sulphadiazine and a combination antibiotic regime. Children aged six yr or under were a major subgroup at risk of suffering burns (7 out of 12) and only one patient was aged over 30 yr. Lack of anti-epileptic medication resulted in potentially avoidable burns in four epileptic patients.
There is a need for cheap preventive health promotion measures as well as the provision of simple resources as most burns encountered can be managed effectively by simple measures.
描述马拉维最大医院所收治的烧伤病例情况。
在马拉维布兰太尔市伊丽莎白女王中央医院开展的一项前瞻性研究中，对四周内的一系列12例意外烧伤病例进行了分析。
热水是最常见的烧伤源（12例中有6例）。明火和煤油灯事故是癫痫患者烧伤的最常见原因。男性烧伤患者多于女性（男∶女比例 = 8∶4）。大多数烧伤为浅度烧伤（12例中有11例）。1例患者为深度烧伤，需要进行植皮手术。所有患者均接受了外用磺胺嘧啶银和联合抗生素治疗方案。6岁及以下儿童是烧伤的主要高危亚组（12例中有7例），只有1例患者年龄超过30岁。4例癫痫患者因缺乏抗癫痫药物而导致了本可避免的烧伤。
需要采取廉价的预防性健康促进措施，并提供简单的资源，因为大多数所遇到的烧伤病例可通过简单措施得到有效处理。
