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电烧伤:加纳人群中的趋势及风险因素

Electrical burns: The trend and risk factors in the Ghanaian population.

作者信息

Agbenorku P, Agbenorku E, Akpaloo J, Obeng G, Agbley D

机构信息

Reconstructive Plastic Surgery & Burns Unit, Department of Surgery, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana.

College of Computing and Engineering, University of Salford, Media City Campus, Salford, UK.

出版信息

Ann Burns Fire Disasters. 2014 Dec 31;27(4):176-83.

Abstract

The usefulness of electricity in daily life offers several advantages which cannot be underestimated. Electricity is needed by industries for manufacturing and also in homes for lighting, cooking, washing, etc. However, electricity can cause severe life-threatening complications. This study investigates the trend and mortality risk factors of electrical burn injuries at the Burns Intensive Care Unit (BICU) of the Komfo Anokye Teaching Hospital (KATH), Ghana. The Burns Registry at KATH BICU containing information on patients who were admitted for electrical burns was used. Data on the sex, age, occupation, cause of injury, Total Body Surface Area burned (TBSA) and outcome of admissions was obtained. GraphPad version 5 was used for the analysis. There were 13 (2.7%) electrical burns, suffered by 11 males (84.6%) and 2 females (15.4%) out of a total 487 BICU admissions over a 4-year period (July 1, 2009 - June 30, 2013); the mean age of the electrical burn victims was 37.8 years (range = 22-56); the TBSA ranged from 5.0% - 98.0%. Mortality risk factors identified were high voltage electrical burns, older age (P=0.0250) and TBSA>20% (P=0.048). Four cases (30.8%) were transferred to the Main Burns Ward (Ward D2C); 6 cases (46.1%) were discharged home; 3 patients (23.1%) died; all deaths were recorded in persons who had high voltage electrical burns. Electrical burns can be severe and can cause death. Even though the current study showed that a small population was affected by electrical burns, society has to be continually conscious of the detrimental effects of electrical energy and take the necessary precautions to minimize this type of accident.

摘要

电在日常生活中的实用性带来了一些不可低估的优势。工业生产需要电来进行制造,家庭生活中照明、烹饪、洗涤等也都需要电。然而,电也可能导致严重的危及生命的并发症。本研究调查了加纳孔福·阿诺凯教学医院(KATH)烧伤重症监护病房(BICU)电烧伤的趋势及死亡风险因素。使用了KATH BICU的烧伤登记册,其中包含因电烧伤入院患者的信息。获取了患者的性别、年龄、职业、受伤原因、烧伤总面积(TBSA)及入院结局等数据。使用GraphPad 5版本进行分析。在2009年7月1日至2013年6月30日这4年期间,487例BICU入院患者中,有13例(2.7%)为电烧伤,其中11例男性(84.6%),2例女性(15.4%);电烧伤受害者的平均年龄为37.8岁(范围=22 - 56岁);TBSA范围为5.0% - 98.0%。确定的死亡风险因素为高压电烧伤、年龄较大(P = 0.0250)和TBSA>20%(P = 0.048)。4例(30.8%)被转至主烧伤病房(D2C病房);6例(46.1%)出院回家;3例患者(23.1%)死亡;所有死亡病例均为高压电烧伤患者。电烧伤可能很严重并可导致死亡。尽管当前研究表明受电烧伤影响的人群较少,但社会必须持续意识到电能的有害影响,并采取必要的预防措施以尽量减少这类事故。

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本文引用的文献

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Improving the ability to predict mortality among burn patients.提高烧伤患者死亡率的预测能力。
Burns. 2008 May;34(3):320-7. doi: 10.1016/j.burns.2007.06.003. Epub 2007 Sep 14.

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