Chen Hung-Chang, Wu Katie P, Yen Cheng-I, Hsiao Yen-Chang, Yang Shih-Yi, Yang Jui-Yung, Chang Shu-Yin, Chuang Shiow-Shuh
From the Department of Plastic and Reconstructive Surgery, and.
Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei, Taiwan.
Ann Plast Surg. 2019 May;82(5):512-519. doi: 10.1097/SAP.0000000000001928.
On June 27, 2015, a colored powder explosion occurred in Taiwan. As a result, 499 people were injured, and over 200 people were in critical condition because of severe burns. Forty-nine casualties were transported to the Chang Gung Memorial Hospital.
We undertook a single-center retrospective observational study using clinical data for 37 patients with major burns with more than 20% total burn surface area (TBSA). We describe the experience of managing patients with acute burn injuries in these patients. Patient-specific data were analyzed and expressed as mean ± standard deviation.
Thirty-seven major burn patients were admitted to our hospital. The mean ± SD age was 22.5 ± 5 years. The mean ± SD TBSA was 48.9% ± 20%. All patients were stabilized within 6 hours after admission, and no patient experienced hypothermia or hypovolemia. We performed 95 debridement procedures and 88 skin grafts. A mean of 5.6 surgeries were performed for each patient. The mean ± SD hospital stay was 62 ± 32 days. The ratio for hospital days/%TBSA was 1.36, and hospital charges/hospital days ratio was US $973 a day for surviving patients. Two mortalities (2/37, 5.4%) were reported: one was related to cardiac insult, and another was caused by sepsis.
We share our experience in managing 37 major burn patients in a colored powder explosion to improve the holistic care in modern mass burn casualties. Aggressive early debridement and skin grafting reduced hospital stay and costs.
2015年6月27日，台湾发生彩色粉末爆炸事件。造成499人受伤，200多人因严重烧伤处于危急状态。49名伤员被送往长庚纪念医院。
我们进行了一项单中心回顾性观察研究，使用了37例烧伤总面积超过20%（TBSA）的重度烧伤患者的临床数据。我们描述了在这些患者中管理急性烧伤患者的经验。对患者的具体数据进行分析，并表示为均值±标准差。
37例重度烧伤患者入住我院。平均年龄±标准差为22.5±5岁。平均TBSA±标准差为48.9%±20%。所有患者在入院后6小时内病情稳定，无患者出现体温过低或血容量不足。我们进行了95次清创手术和88次皮肤移植。每位患者平均接受5.6次手术。平均住院时间±标准差为62±32天。住院天数/TBSA%的比值为1.36，存活患者的住院费用/住院天数比值为每天973美元。报告了2例死亡（2/37，5.4%）：1例与心脏损伤有关，另1例由败血症引起。
我们分享了在彩色粉末爆炸事件中管理37例重度烧伤患者的经验，以改善现代大规模烧伤伤员的整体护理。积极的早期清创和皮肤移植减少了住院时间和费用。
