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[导致死亡的热损伤并发症]

[Complications of thermal injuries leading to death].

作者信息

Hájek S, Stefan J, Gregora Z, Hladík J, Klír P

机构信息

Ustav soudního lékarství 3. LF UK, Praha.

出版信息

Soud Lek. 1993 Feb;38(1):5-7.

PMID:8488390
Abstract

The authors analyzed a group of 194 decreased subjects, 119 men and 75 women aged 15.96 years who suffered thermic damage in the years 1981-1989. As compared with the source of burns in 1966-1974, there was a striking increase of subjects who suffered burns during propane-butane explosions. In the foreground of thanatological findings was pneumonia in 49%, shock in 28.3%, sepsis in 26.8% damage of the upper gastrointestinal tract in 23.7% and thrombotic embolism in 18% of the subjects who died. More than half of them died with normothermia, 25% with hyperpyrexia and more than 20% with hypothermia. As compared with values of LA50 in 1966-1974 an increase occurred which implies a more favourable prognosis of burns. The values of LA50 were higher in particular in in the age group from 15-50 years.

摘要

作者分析了一组194名伤亡者,其中119名男性和75名女性,年龄为15.96岁,他们在1981年至1989年期间遭受了热损伤。与1966年至1974年的烧伤源相比,丙烷 - 丁烷爆炸期间遭受烧伤的人数显著增加。在死亡学研究结果中,49%的死者死因是肺炎,28.3%是休克,26.8%是败血症,23.7%是上消化道损伤,18%是血栓栓塞。超过一半的人在体温正常时死亡,25%在高热时死亡,超过20%在体温过低时死亡。与1966年至1974年的LA50值相比有所增加,这意味着烧伤的预后更有利。LA50值在15至50岁年龄组中尤其更高。

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