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社区医院中烧伤患者死亡的相关因素。

Factors associated with deaths of burned patients in a community hospital.

作者信息

Hamit H F

出版信息

J Trauma. 1978 Jun;18(6):405-18. doi: 10.1097/00005373-197806000-00005.

DOI:10.1097/00005373-197806000-00005
PMID:660696
Abstract

In a study of 310 burned patients, 27 of whom died, treated during a recent 3-year period, we have found that the following factors contributed to mortality: severity of the burn injury, advanced age of patients, race of the patients, cause of the burns, pre-existing medical problems, inadequate or inappropriate early resuscitative measures, and possible errors or oversights in the management of a few patients. Whether the patients were treated by general or plastic surgeons and whether the patients were "staff" or "private" appeared to have no significant bearing on survival or mortality. Death rates for the sexes were approximately equal. Deaths of patients who survived the immediate postburn period resulted mainly from pulmonary failure, renal failure, sepsis, and cardiac failure or from various combinations of these factors.

摘要

在一项对最近3年期间治疗的310例烧伤患者的研究中,其中27例死亡,我们发现以下因素导致了死亡率:烧伤的严重程度、患者的高龄、患者的种族、烧伤原因、既往存在的医疗问题、早期复苏措施不足或不当,以及少数患者治疗过程中可能出现的失误或疏忽。患者是由普通外科医生还是整形外科医生治疗,以及患者是“职工”还是“自费”患者,似乎对生存或死亡没有显著影响。两性的死亡率大致相等。烧伤后急性期存活的患者死亡主要是由于肺衰竭、肾衰竭、败血症和心力衰竭,或这些因素的各种组合。

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