Tweed A, Ross J F
Ann Plast Surg. 1979 Jun;2(6):491-8. doi: 10.1097/00000637-197906000-00007.
We reviewed the mortality experience in Halifax burn units over the ten-year period January, 1967, to April, 1977. Major complications leading to death were examined and related to initial injury, length of survival, and preexisting disease. When possible, antemortem diagnoses were compared with postmortem pathological findings. Renal failure, sepsis, and pulmonary complications were the most frequent causes of death in burn patients. The patients who died from renal failure tended to expire soon after being burned, and tended to have been inadequately hydrated during the long journey to Halifax. Patients with sepsis did not die within the first 48 hours of being burned. Early excision of the burn wound with homograft replacement might have prevented some of these deaths. Pulmonary complications early in the postburn course appeared related to closed-space and possibly to inhalation injury. However, pneumonia tended to predominate later.
我们回顾了1967年1月至1977年4月这十年间哈利法克斯烧伤病房的死亡情况。对导致死亡的主要并发症进行了检查，并将其与初始损伤、存活时间和既往疾病相关联。在可能的情况下，将生前诊断与死后病理结果进行了比较。肾衰竭、败血症和肺部并发症是烧伤患者最常见的死亡原因。死于肾衰竭的患者往往在烧伤后不久就死亡，并且在前往哈利法克斯的漫长旅途中往往补液不足。败血症患者并非在烧伤后的头48小时内死亡。早期切除烧伤创面并用同种异体移植物替代可能会避免一些此类死亡。烧伤后早期的肺部并发症似乎与密闭空间有关，也可能与吸入性损伤有关。然而，肺炎在后期往往更为常见。
