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巴基斯坦伊斯兰堡巴基斯坦医学科学研究所烧伤损伤的经验*

Experience of burn injuries at the pakistan institute of medical science, islamabad, pakistan*.

作者信息

Ahmad M, Shahid Hussain S, Ibrahim Khan M, Malik S A

机构信息

Plastic, Reconstructive, and Hand Surgeon, Rawalpindi, Pakistan.

出版信息

Ann Burns Fire Disasters. 2007 Mar 31;20(1):7-10.

Abstract

The objective of this prospective study was to consider the demographical data of burn patients admitted to the Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan. The study was carried out at PIMS from January 2002 to December 2003. Only admitted patients of either sex of age more than 12 yr were included. Patients below 12 yr were excluded. Patients requiring outpatient treatment were also excluded. A total number of 77 males and 65 females fulfilled the criteria. The mean age of the males was 32.2 yr and of the females 24.4 yr, while the male/female ratio was 1/1.18. Burns were commonest during the winter season (42.2%). In 6% of the patients, the burns were due to suicide attempts and in 15% to homicidal intent. The burns were accidental in 79% of cases. The major mechanism in females was stove burst (22%) and in males direct flame (18%). The kitchen was the commonest site of the accident in females (27%). Housewives were the most frequently affected (35%). More married males (39%) were burned than unmarried females (18%). Inhalational injury was present in 23% of the patients. Males had average total body surface area burned of 27.4% compared with 39.5% in females. Eighteen per cent of the deaths occurred among males and 16% among females. This study provides a comprehensive overview of hospitalized burn patients in Pakistan. Prevention is always the rule to be safe from burns but, once they occur, immediate and proper care should be given with aggressive treatment in order to minimize post-burn problems.

摘要

这项前瞻性研究的目的是考量入住巴基斯坦伊斯兰堡医学科学研究所(PIMS)的烧伤患者的人口统计学数据。该研究于2002年1月至2003年12月在PIMS开展。仅纳入年龄超过12岁的男女住院患者。排除12岁以下患者。也排除需要门诊治疗的患者。共有77名男性和65名女性符合标准。男性的平均年龄为32.2岁,女性为24.4岁,男女比例为1/1.18。烧伤在冬季最为常见(42.2%)。6%的患者烧伤是由于自杀未遂,15%是由于杀人意图。79%的病例烧伤是意外造成的。女性的主要致伤机制是炉灶爆炸(22%),男性是直接火焰烧伤(18%)。厨房是女性事故最常见的地点(27%)。家庭主妇受影响最频繁(35%)。已婚男性烧伤的比例(39%)高于未婚女性(18%)。23%的患者存在吸入性损伤。男性平均烧伤总面积为27.4%,女性为39.5%。18%的死亡发生在男性中,16%发生在女性中。这项研究全面概述了巴基斯坦住院烧伤患者的情况。预防始终是避免烧伤的原则,但一旦发生烧伤,应立即给予适当护理并积极治疗,以尽量减少烧伤后问题。

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