Fan Xiaoming, Ma Bing, Zeng Ding, Fang Xiao, Li Haihang, Xiao Shichu, Wang Guangyi, Tang Hongtai, Xia Zhaofan
Department of Burns, Burn center, Changhai Hospital, Second Military Medical University, Shanghai, China.
Department of Burns, Burn center, Changhai Hospital, Second Military Medical University, Shanghai, China; Department of Burns and Plastic Surgery, General Hospital of PLA Rocket Force, Beijing, China.
Burns. 2017 Nov;43(7):1586-1595. doi: 10.1016/j.burns.2017.01.033. Epub 2017 Aug 30.
Information about epidemiology on burns is rare in China. The aim of this article is to describe the pattern of burns in East China during a 10-year time period.
A retrospective data analysis was performed on all hospitalized patients to the burn center at the Changhai hospital, one of major burn centers in East China, from 2005 to 2014.
We included 3376 patients in this study. Among them, 48.1% were from 27 provinces out of Shanghai and nearly 90% were from East China. August saw the most admissions and November saw the fewest. Spring and summer separately dominated in number of female and male patients. Children aged 2-5 and working-age adult were the most commonly treated. Home was the commonest place of injury, followed by industrial-related places, outdoors, public buildings, and vehicles or roads. Scalds remained the primary reason, followed by fire, contact burns, electricity, and chemicals. The average %TBSA of male patients was 14.2±21.3, significantly different from that of female patients (10.4±16.9). Extremities were the most vulnerable body region burned, followed by the trunk, face and hands. The average hospital length of stay in male patients was 25.4±72.4 days, significantly different from that of females' 19.9±27.6 days. The total mortality was 1.8% and the lethal area burned resulting in 50% mortality was 96.5% TBSA.
Compared with published data, these result are encouraging, which demonstrate that burn care and treatment has made significant progress. Burn clinicians should bear not only the responsibility to treat and cure burns, but also the popularization of knowledge about burn precautions and emergency treatments.
中国关于烧伤流行病学的信息较为匮乏。本文旨在描述华东地区10年间的烧伤模式。
对华东地区主要烧伤中心之一的长海医院烧伤中心2005年至2014年期间所有住院患者进行回顾性数据分析。
本研究纳入3376例患者。其中,48.1%来自上海以外的27个省份,近90%来自华东地区。8月入院人数最多,11月最少。春季女性患者数量最多,夏季男性患者数量最多。2至5岁儿童和劳动年龄成年人是最常接受治疗的群体。家庭是最常见的受伤地点,其次是与工业相关的场所、户外、公共建筑以及车辆或道路。烫伤仍是主要原因,其次是火灾、接触性烧伤、电击和化学物质。男性患者的平均烧伤总面积为14.2±21.3,与女性患者(10.4±16.9)有显著差异。四肢是最易烧伤的身体部位,其次是躯干、面部和手部。男性患者的平均住院天数为25.4±72.4天,与女性患者的19.9±27.6天有显著差异。总死亡率为1.8%,导致50%死亡率的致死烧伤面积为96.5%TBSA。
与已发表的数据相比,这些结果令人鼓舞,表明烧伤护理和治疗取得了显著进展。烧伤临床医生不仅应承担治疗烧伤的责任,还应承担烧伤预防和急救知识的普及责任。