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儿童轻度烧伤:住院治疗与门诊治疗?

Minor burn injuries in children: inpatient versus outpatient treatment?

作者信息

La Ferla G A, Fyfe A H, Drainer I K

出版信息

Ann R Coll Surg Engl. 1983 Nov;65(6):394-5.

Abstract

Seventy-two children with minor superficial burns presented at our casualty department over a 5-month period. Half were treated as inpatients and the other half as outpatients. The colonisation rates were similar in the two groups. Colonised and sterile burns treated as inpatients showed no significant difference in healing rates. The healing time, however, was prolonged in colonised outpatient treated burns. Cosmetic results were satisfactory overall. In the absence of a definite benefit from inpatient treatment, outpatient care of a child with a minor burn should therefore be used if circumstances allow.

摘要

在5个月的时间里,有72名轻度浅表烧伤儿童到我们的急诊科就诊。一半儿童作为住院患者接受治疗,另一半作为门诊患者接受治疗。两组的定植率相似。作为住院患者治疗的定植烧伤和无菌烧伤在愈合率上没有显著差异。然而,门诊接受治疗的定植烧伤患儿愈合时间延长。总体而言,美容效果令人满意。由于住院治疗没有明确的益处,因此,如果情况允许,对于轻度烧伤儿童应采用门诊治疗。

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本文引用的文献

1
Control of infection following burn injury.烧伤后感染的控制
Arch Surg. 1971 Oct;103(4):435-41. doi: 10.1001/archsurg.1971.01350100029006.
2
Alterations of the host defense mechanism in burns.烧伤时宿主防御机制的改变。
Surg Clin North Am. 1970 Dec;50(6):1217-25. doi: 10.1016/s0039-6109(16)39282-9.
3
Outpatient management of the burned patient.烧伤患者的门诊管理。
Surg Clin North Am. 1978 Dec;58(6):1107-17. doi: 10.1016/s0039-6109(16)41679-8.

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