Muguti G I, Doolabh D P
Department of Surgery, Mpilo Central Hospital, Bulawayo, Zimbabwe.
Cent Afr J Med. 1994 Feb;40(2):44-6.
A retrospective study of 22 male patients treated at Mpilo Central Hospital for occupational burns between January 1991 and December 1992 is presented. The mean age was 36 years (range 18-62 years). Forty five pc of the patients were general labourers and 55 pc were semi skilled workers. The commonest burning agent was open fire in 32 pc of cases. A wide variety of other burning agents was recorded. The surface area of burns ranged from one pc to 88 pc with a mean of 21 pc. Partial thickness and full thickness burns accounted for 48 pc of cases. Thirty two pc of cases required active resuscitation with intravenous fluids. The average duration of stay in hospital was 29 days (range 2-235 days). Three patients with severe burns died giving a mortality rate of 14 pc. As the city of Bulawayo becomes more industrialised the need for a purpose built burns unit to deal with these severe injuries warrants serious consideration. In the meantime attention should be focused on various aspects of burns prevention at the work place.
本文呈现了一项对1991年1月至1992年12月期间在姆皮洛中心医院接受治疗的22名男性职业烧伤患者的回顾性研究。患者的平均年龄为36岁(范围为18至62岁)。45%的患者为普通劳动者,55%为半熟练工人。最常见的致伤因素是明火,占32%的病例。还记录了各种各样的其他致伤因素。烧伤面积从1%到88%不等,平均为21%。浅度烧伤和深度烧伤占48%的病例。32%的病例需要积极的静脉补液复苏。平均住院时间为29天(范围为2至235天)。3名重度烧伤患者死亡,死亡率为14%。随着布拉瓦约市工业化程度的提高,建立一个专门用于处理这些严重烧伤的烧伤治疗单元的需求值得认真考虑。与此同时,应将注意力集中在工作场所烧伤预防的各个方面。