Takei Itsuki, Ito Takamichi, Murata Maho, Ide Taketoshi, Tsuji Gaku, Kido-Nakahara Makiko, Nakahara Takeshi
Department of Dermatology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
J Plast Reconstr Surg. 2023 Jul 31;3(1):26-28. doi: 10.53045/jprs.2023-0005. eCollection 2024 Jan 27.
Burn, a common injury in daily life, is a potential risk factor for severe sequelae in people, particularly children. Preventing unexpected burn injuries is of the utmost importance. This study examined the current status of pediatric burns in our institute. One hundred children who received intensive therapy in Kyushu University Hospital were analyzed regarding the causes, sites, severity, treatments, and outcomes of burns between 2004 and 2021. The mean patient age was 2.4 years (range: 0-15), and 90% of patients were 6 years old or younger. The mean percent total body surface area was 12.7%. All patients had second- or third-degree burns. The most common cause was scalding (93%), and among them, hot water burns, and kettle burns were predominant in 49.5% and 24.7% of children, respectively. The seasonal fluctuations of occurrence were not remarkable. Basic fibroblast growth factor spray with wet dressing was used, but hypertrophic scars arose in 39 patients. The mean duration of hospitalization was 18.9 ± 18.2 days. This study revealed that more than 90% of pediatric burns were caused by hot liquids, thereby highlighting the importance of educational activities for parents to prevent and reduce pediatric burns because most scalding burns can be avoided with caution.
烧伤是日常生活中的常见损伤，是导致人们尤其是儿童出现严重后遗症的潜在风险因素。预防意外烧伤至关重要。本研究调查了我院小儿烧伤的现状。对2004年至2021年间在九州大学医院接受强化治疗的100名儿童的烧伤原因、部位、严重程度、治疗方法及预后进行了分析。患者的平均年龄为2.4岁（范围：0至15岁），90%的患者年龄在6岁及以下。平均烧伤总面积为12.7%。所有患者均为二度或三度烧伤。最常见的原因是烫伤（93%），其中热水烫伤和水壶烫伤分别占儿童患者的49.5%和24.7%。烧伤发生的季节波动不明显。使用了碱性成纤维细胞生长因子喷雾配合湿性敷料，但有39例患者出现了增生性瘢痕。平均住院时间为18.9±18.2天。本研究表明，超过90%的小儿烧伤是由热液引起的，这凸显了对家长进行预防和减少小儿烧伤教育活动的重要性，因为大多数烫伤是可以通过小心谨慎避免的。
