Department of Surgery, Saint Barnabas Medical Center, Livingston, New Jersey 07039, USA.
Int J Urol. 2012 Apr;19(4):351-8. doi: 10.1111/j.1442-2042.2011.02943.x. Epub 2012 Jan 6.
The American Burn Association classifies a burn to the genitalia as a major injury. Isolated burns to the penis, scrotum or vulva are rare as a result of protection provided by the thighs and abdomen. Thus, burned genitalia represent an ominous sign of a more extensive total body surface area burn.
A retrospective analysis of consecutive patients admitted to a Level-1 Burn Unit with a burn involving the genitalia from January 1995 to December 2009 comprised the study population.
A total of 393 patients of 5878 patients (6.7%) admitted to the Burn Unit suffered a burn involving the genitalia, including 253 males (64.4%) and 140 females (35.6%). The median total body surface area was 12% (range 1-100%), the most common cause of genital burn was scald (n = 246, 62.9%) and median length of stay was 9 days (range 1-472 days). A total of 269 patients (68.4%) were discharged to home from the hospital, and in-hospital mortality was 20.9%.
The typical profile for those sustaining a genital burn include younger patients (≤30 years-of-age), sustaining a median total body surface area burn of 12% from a scald injury, with extensive genitalia involvement. Length of stay for genital burns is usually extended and, as a result of concomitant injuries, is associated with a 20% in-hospital death rate.
美国烧伤协会将生殖器烧伤归类为重大损伤。由于大腿和腹部的保护，阴茎、阴囊或外阴的孤立性烧伤很少见。因此，生殖器烧伤代表更广泛的体表面积烧伤的不祥迹象。
对 1995 年 1 月至 2009 年 12 月期间在一级烧伤病房因生殖器烧伤连续入院的患者进行回顾性分析，构成了研究人群。
在烧伤病房住院的 5878 名患者中，共有 393 名（6.7%）患者发生生殖器烧伤，其中 253 名男性（64.4%）和 140 名女性（35.6%）。总体表面积中位数为 12%（范围 1-100%），生殖器烧伤最常见的原因是烫伤（n=246，62.9%），中位住院时间为 9 天（范围 1-472 天）。共有 269 名患者（68.4%）从医院出院回家，院内死亡率为 20.9%。
发生生殖器烧伤的典型特征包括年轻患者（≤30 岁），体表总面积烧伤中位数为 12%，由烫伤引起，生殖器广泛受累。生殖器烧伤的住院时间通常延长，并且由于合并伤，与 20%的院内死亡率相关。
