Demir Yiğit Yasemin, Yiğit Ebral
Department of Pediatrics, Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey.
Department of General Surgery, Gazi Yasargil Training and Research Hospital, 21090 Diyarbakır, Turkey.
Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):3216-3220. doi: 10.1007/s12070-023-03926-8. Epub 2023 Jun 16.
This study aimed to determine the epidemiological features, risk factors, current management trends and prognosis associated with injury severity in paediatric craniofacial and neck burn injuries. In the study conducted between January 2016 and January 2022, the data of 204 paediatric patients with head and neck burns hospitalised in Gazi Yaşargil Training and Research Hospital Burn Centre were scanned from medical records in a hospital computer. Of the total 204 patients, 114 (55.9%) were boys and 90 (44.1%) were girls. The age group most affected by burn trauma was the 1-4 age group at 55.4%. Scald burns were the most common cause in all age groups. Electrical, chemical and sunburns were rare causes. Among the patients, 97 (47.5%) developed acute conjunctivitis due to burns. Among the patients, 91 (44.6%) lived in rural areas and 113 (55.4%) in urban areas. The wound culture results of the patients were 24% positive, and the most common bacteria were (5.4%) and (4.9%). During follow-up, neck contracture developed in six (2.94%) patients with neck burns. Four (1.96%) patients died because of sepsis. The mean hospital stay was 5.49 ± 4.14 days. Craniofacial and neck burns in the paediatric population are complex and leave sequelae after burns, often requiring advanced care. Children are at risk for injury by liquid, kitchen and chemical products, which serve as common caustic injury mechanisms.
本研究旨在确定小儿颅面部和颈部烧伤损伤严重程度的流行病学特征、危险因素、当前管理趋势及预后情况。在2016年1月至2022年1月进行的这项研究中,从加济·亚萨尔吉尔培训与研究医院烧伤中心住院的204例小儿头颈部烧伤患者的病历中扫描了相关数据。在总共204例患者中,114例(55.9%)为男孩,90例(44.1%)为女孩。烧伤创伤影响最严重的年龄组是1 - 4岁年龄组,占55.4%。烫伤是所有年龄组中最常见的原因。电击伤、化学伤和晒伤是罕见原因。在患者中,97例(47.5%)因烧伤发生急性结膜炎。在患者中,91例(44.6%)居住在农村地区,113例(55.4%)居住在城市地区。患者的伤口培养结果24%呈阳性,最常见的细菌是(5.4%)和(4.9%)。随访期间,6例(2.94%)颈部烧伤患者出现颈部挛缩。4例(1.96%)患者因脓毒症死亡。平均住院时间为5.49±4.14天。小儿人群的颅面部和颈部烧伤情况复杂,烧伤后会留下后遗症,通常需要高级护理。儿童面临因液体、厨房用品和化学产品而受伤的风险,这些是常见的腐蚀性损伤机制。