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电烧伤:黎巴嫩盖陶伊医院黎巴嫩烧伤中心的回顾性研究(2011 - 2024年)

Electrical Burns: A Retrospective Study at the Lebanese Burn Center in Geitaoui Hospital, Lebanon (2011-2024).

作者信息

Moukawam Elie, Aoun Charbel Bechara, Sfeir Joseph, Hankach Ziad, Chebl Rita, Ghanime Georges, Sleiman Ziad

机构信息

Faculty of Medical Sciences, Department of Plastic and Reconstructive Surgery, Lebanese University, Beirut, Lebanon.

出版信息

Int Wound J. 2025 Aug;22(8):e70732. doi: 10.1111/iwj.70732.

Abstract

Electrical burns are among the most severe burn injuries, often leading to deep tissue damage, systemic complications, and prolonged hospitalisation. In Lebanon, limited national data on electrical burn injuries limits the understanding of their epidemiology and management. This study aims to assess the prevalence and characteristics of electrical burns in patients admitted to the specialised burn care unit in Geitaoui Hospital in Lebanon. A retrospective observational study was conducted by reviewing the medical records of patients admitted from 1st January 2011 to 31st December 2024. Data on demographics, burn characteristics, hospitalisation outcomes, infections, surgical interventions, and laboratory findings were extracted and analysed using SPSS version 26. Thirty patients were included, with a male predominance (96.7%) and the mean age was 29.6 years. Third-degree burns were observed in 70.0% of cases, and 66.7% of patients had burns affecting 10%-30% of their total body surface area. High-voltage injuries accounted for 50.0% of cases. Upper extremities were the most commonly affected site (93.3%). The mean hospital stay was 25.69 days, and the mortality rate was 10.0%. Infection was documented in 43.3% of cases. The most frequently isolated pathogens were Acinetobacter (20.0%) and Pseudomonas aeruginosa (16.7%). Surgical intervention was required in 63.3% of patients, most frequently skin grafting (36.7%). This study contributes national data on electrical burns and emphasises the importance of preventive and multidisciplinary care strategies.

摘要

电烧伤是最严重的烧伤类型之一,常导致深部组织损伤、全身并发症及住院时间延长。在黎巴嫩,关于电烧伤的全国数据有限,这限制了对其流行病学和治疗的了解。本研究旨在评估黎巴嫩盖陶伊医院专门烧伤护理病房收治患者中电烧伤的患病率及特征。通过回顾2011年1月1日至2024年12月31日收治患者的病历进行了一项回顾性观察研究。提取了人口统计学、烧伤特征、住院结局、感染、手术干预及实验室检查结果等数据,并使用SPSS 26版进行分析。纳入30例患者,男性占主导(96.7%),平均年龄为29.6岁。70.0%的病例观察到三度烧伤,66.7%的患者烧伤面积占全身表面积的10% - 30%。高压伤占病例的50.0%。上肢是最常受累部位(93.3%)。平均住院时间为25.69天,死亡率为10.0%。43.3%的病例记录有感染。最常分离出的病原体是不动杆菌(20.0%)和铜绿假单胞菌(16.7%)。63.3%的患者需要手术干预,最常见的是皮肤移植(36.7%)。本研究提供了关于电烧伤的全国数据,并强调了预防和多学科护理策略的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dda1/12296240/7b0da74294e2/IWJ-22-e70732-g003.jpg

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