Türegün M, Sengezer M, Selmanpakoglu N, Celiköz B, Nişanci M
Gülhane Military Medical Academy, Division of Plastic-Reconstructive Surgery and Burn Centre, Ankara, Turkey.
Burns. 1997 Nov-Dec;23(7-8):584-90. doi: 10.1016/s0305-4179(97)00081-8.
This is a retrospective study analysing 5264 patients treated in the burn centre at Gülhane Military Medical Academy from 1 January 1986 to 31 December 1995. Our burn centre is not only the first, but one of the best established and supported in Turkey. Our present study has the largest patient group of other previously published studies from Turkey. Of the total patients studied, 4464 patients had minor burns and were treated on an outpatient basis and 800 patients had moderate to major burns. Although our centre is in a military area in Ankara, only 1047 (20 per cent) patients were military personnel and the military-related burn causes comprised only 6 per cent of the total. The remaining 4217 (80 per cent of the total patients) were civilians. Flame injuries were also more frequent in military patients than civilians. Minor burns were most common in the age group 0-10 years old (40 per cent) and moderate to major burns in the age group 21-30 years (54 per cent). Scalds were the main cause of paediatric burns. Male patients were dominant. The overall mortality among inpatients was 18.2 per cent and mean total body surface area (TBSA) was 57.6 per cent in patients who died. 134 patients demonstrated inhalation injury and 82 per cent of these patients died. The epidemiological pattern of our patients is similar to that in other studies from developed countries, although some ethnic causative factors could be found. Our study indicates that emergency measures should be taken to prevent flame injuries at military barracks and industrial workplaces and scalding accidents to children at home and throughout the country.
这是一项回顾性研究，分析了1986年1月1日至1995年12月31日期间在古勒汗军事医学院烧伤中心接受治疗的5264例患者。我们的烧伤中心不仅是土耳其首个成立的烧伤中心，也是设备最完善、支持力度最大的烧伤中心之一。我们目前的研究拥有比土耳其此前发表的其他研究更大的患者群体。在所有研究的患者中，4464例为轻度烧伤，接受门诊治疗，800例为中度至重度烧伤。尽管我们的中心位于安卡拉的军事区域，但只有1047名（20%）患者是军事人员，与军事相关的烧伤原因仅占总数的6%。其余4217名（占患者总数的80%）为平民。火焰烧伤在军事患者中也比平民更常见。轻度烧伤在0至10岁年龄组中最为常见（40%），中度至重度烧伤在21至30岁年龄组中最为常见（54%）。烫伤是儿童烧伤的主要原因。男性患者占主导。住院患者的总死亡率为18.2%，死亡患者的平均总体表面积（TBSA）为57.6%。134例患者出现吸入性损伤，其中82%的患者死亡。尽管可以发现一些种族致病因素，但我们患者的流行病学模式与其他发达国家的研究相似。我们的研究表明，应采取紧急措施，预防军事营地和工业工作场所的火焰烧伤，以及全国范围内家庭中儿童的烫伤事故。
