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食用油导致的烧伤——危害日益增加。

Burns due to cooking oils--an increasing hazard.

作者信息

Pegg S P, Seawright A A

出版信息

Burns Incl Therm Inj. 1983 May;9(5):362-9. doi: 10.1016/0305-4179(83)90085-2.

Abstract

From July 1967 to June 1981, the proportion of all burns patients admitted to the Royal Brisbane Hospital Burns Unit, who were burnt by hot cooking oil or fat, rose 5.1 per cent during the first five years of the study, to 11.3 per cent during the last four years, probably due mainly to the rising popularity of cooking food in hot oil, but also probably due partly to the changing patterns of how cooking oil is used. Sixty-two of the 112 patients sustaining hot cooking oil or fat burns over the 14-year period, were males (55 per cent), and 50 were females (45 per cent). Patients of all ages were involved, but there was a notable increase in the proportion of 30-39 year-olds and a notable decrease in the proportion of those aged 60 years and older. The vast majority of these burns occurred in the domestic situation, and this majority increased over the 14 years, may be explained by changes in the of industrial cooking. The notable increase in the ratio of deep partial/full thickness burns in the series, over the fourteen years, may be explained by changes in the relative amounts of cooking done with different types of fats and oils, which have differing physico-chemical properties, although the proportion of patients receiving skin grafts did not alter much with time, reflecting the increasing tendency to graft burns. Ninety-six per cent of the patients in the series sustained burns of less than 20 per cent of their body surface area, and the proportion suffering burns of 1 per cent or less in area has risen markedly. No deaths directly resulted, and predisposing factors to burn injury were remarkably absent. The majority of patients sustained burns to their hands, reflecting the situation in which most of these burns occur, that is, spilling a carried vessel of ignited cooking oil. Prevention by greater consumer education is recommended.

摘要

1967年7月至1981年6月期间,入住皇家布里斯班医院烧伤科的所有烧伤患者中,被热油或热脂肪烫伤的患者比例在研究的前五年上升了5.1%,在后四年升至11.3%,这可能主要归因于热油烹饪越来越受欢迎,但也可能部分归因于食用油使用方式的变化。在这14年中,112例被热油或热脂肪烫伤的患者中有62例为男性(55%),50例为女性(45%)。各年龄段的患者均有涉及,但30 - 39岁患者的比例显著增加,60岁及以上患者的比例显著下降。这些烧伤绝大多数发生在家庭环境中,而且这一比例在14年中有所上升,这可能是由于工业烹饪方式的变化所致。在这一系列病例中,深二度/全层烧伤的比例在14年中显著增加,这可能是由于使用了不同物理化学性质的油脂进行烹饪,其相对用量发生了变化,尽管接受皮肤移植的患者比例并未随时间有太大改变,这反映了烧伤移植治疗的趋势在增加。该系列中96%的患者烧伤面积小于体表面积的20%,面积在1%及以下的烧伤患者比例显著上升。没有直接导致死亡的情况,而且明显不存在烧伤的诱发因素。大多数患者手部烧伤,这反映了这些烧伤大多发生的场景,即手持的盛有热油的容器溢出。建议通过加强消费者教育来预防此类烧伤。

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