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上埃及地区小儿烧伤管理经验:过去六年

Upper egypt experience in management of paediatric burn: the last six years.

作者信息

Hassen Y S, Makboul M, Taha O, Altayeb A

机构信息

Plastic Surgery Department.

出版信息

Ann Burns Fire Disasters. 2010 Sep 30;23(3):116-9.

PMID:21991209
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3188256/
Abstract

Childhood burns in Egypt are a significant problem, especially in families of low socioeconomic status. These families live in overcrowded flats using kerosene stoves but lacking proper hygiene and adequate safety measures. Over the 6-yr period 2004-2009 a total number of 1999 burned children (1440 children treated as out-patients with less than 10% total body surface area [TBSA] burned plus 559 with more than 10% TBSA burns treated as in-patients) presented to the burn unit of Assiut University Hospital. In the out-patient group (1440 children), the most common site was the upper limb (40% of patients) and the least common was the chest (9%). Scalding was the most common cause (75%), followed by flame (25%). The mean age of children in this group was 4.5 yr. The in-patient group (559 children) was classified into three age groups: group 1 (age below 5 yr), group 2 (5-10 yr), and group 3 (11-16 yr). Group 1 was most affected by burns, with 61% of the cases, while group 3 was the least affected (17%). The most common cause of injury was scalding (68%) and the least common was chemical burn (1%). Regarding gender, boys accounted for 64.5% of the cases and girls 35.5%. Burn size ranged from 10 to 50% TBSA, classified into three groups: group 1 (10-15%), group 2 (16-20%), and group 3 (more than 20%). Most of the affected children were in group 3 (41% of in-patient cases). The mortality rate was 13.1%. The aim of this study was to identify the epidemiological features of burn accidents as the basis for a prophylactic programme to protect young children from scalds and older children from the hazards of fire games and child labour. The study covered the incidence, cause, place, and time of the burns. Demographic aspects, burn severity, socioeconomic factors, and mortality rate were also included in this study of burned children in Upper Egypt aged 0-16 yr in the 6-yr period 2004-09.

摘要

在埃及,儿童烧伤是一个严重问题,在社会经济地位低下的家庭中尤其如此。这些家庭居住在拥挤的公寓里,使用煤油炉,但缺乏适当的卫生条件和足够的安全措施。在2004年至2009年的6年期间,共有1999名烧伤儿童(1440名门诊治疗的儿童,烧伤总面积小于10%[TBSA],加上559名住院治疗的烧伤总面积超过10%TBSA的儿童)被送到阿斯尤特大学医院烧伤科。在门诊组(1440名儿童)中,最常见的烧伤部位是上肢(占患者的40%),最不常见的是胸部(9%)。烫伤是最常见的原因(75%),其次是火焰烧伤(25%)。该组儿童的平均年龄为4.5岁。住院组(559名儿童)分为三个年龄组:第1组(年龄小于5岁)、第2组(5至10岁)和第3组(11至16岁)。第1组受烧伤影响最大,占病例的61%,而第3组受影响最小(17%)。最常见的受伤原因是烫伤(68%),最不常见的是化学烧伤(1%)。在性别方面,男孩占病例的64.5%,女孩占35.5%。烧伤面积从10%至50%TBSA不等,分为三组:第1组(10%至15%)、第2组(16%至20%)和第3组(超过20%)。大多数受影响的儿童属于第3组(占住院病例的41%)。死亡率为13.1%。本研究的目的是确定烧伤事故的流行病学特征,作为预防计划的基础,以保护幼儿免受烫伤,保护大龄儿童免受火灾游戏和童工危害。该研究涵盖了烧伤的发生率、原因、地点和时间。2004年至2009年6年期间,对上埃及0至16岁烧伤儿童的人口统计学方面、烧伤严重程度、社会经济因素和死亡率也进行了研究。

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本文引用的文献

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Ten-year epidemiological study of pediatric burns in Canada.加拿大儿童烧伤的十年流行病学研究。
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