Karray A, Fredj H, Mokline A, Jami I, Ben Saad M, Gasri B, Fattin O, Rebai L, Olfa F, Messad A A
Faculté de Médecine de Tunis, Université de Tunis El Manar, Tunis, Tunisie.
Service de Réanimation des Brûlés, Centre de Traumatologie et des Grands Brûlés, Tunis, Tunisie.
Ann Burns Fire Disasters. 2025 Mar 31;38(1):3-9. eCollection 2025 Mar.
Burns are considered a preventable cause of injury in children, associated with significant morbidity and mortality. We conducted a retrospective descriptive study including burned children managed in the burns resuscitation service of Tunis between January 2018 and July 2022. Three hundred burned children were included, representing 14% of admissions. The mean age was 8±5.4 years, with an age below 5 years in 36% of the cases. The majority of patients were male (61%) and the most frequent cause of injury was domestic accident (79%). Immolation by fire was noted only in adolescents. Burns were thermal in 90% of cases, caused by flames (44%) and hot liquids (38%). Electrical burns were noted in 10% of cases. The location of the burns was the home in 80% of cases, mainly the kitchen (44%). The average total burned skin area was 21±16%. The burns involved the trunk and limbs in 50% of cases. Initial cooling was performed in only 25% of cases. Mechanical ventilation was indicated in 22.7% of cases. Amputation of at least one limb was performed in eleven patients with electrical burns (3.7%). The median hospital stay was 14 days [1-172] with a mortality rate of 16%.
烧伤被认为是儿童可预防的伤害原因，会导致严重的发病率和死亡率。我们进行了一项回顾性描述性研究，纳入了2018年1月至2022年7月在突尼斯烧伤复苏服务中心接受治疗的烧伤儿童。共纳入300名烧伤儿童，占入院人数的14%。平均年龄为8±5.4岁，36%的病例年龄在5岁以下。大多数患者为男性（61%），最常见的受伤原因是家庭事故（79%）。仅在青少年中发现有自焚情况。90%的病例为热烧伤，其中火焰烧伤占44%，热液烧伤占38%。10%的病例为电烧伤。80%的病例烧伤发生在家中，主要是厨房（44%）。平均总烧伤皮肤面积为21±16%。50%的病例烧伤累及躯干和四肢。仅25%的病例进行了初始降温。22.7%的病例需要进行机械通气。11名电烧伤患者（3.7%）至少进行了一次肢体截肢。中位住院时间为14天[1 - 172天]，死亡率为16%。
