摘要
目的:分析武汉大学同仁医院暨武汉市第三医院烧伤科特殊原因烧伤住院患者的流行病学资料,为特殊原因烧伤的防治提供参考依据。方法:收集2005年1月1日-2016年12月31日武汉市第三医院烧伤科所有住院烧伤患者病历资料。统计特殊原因烧伤患者性别、年龄、受伤季节、烧伤总面积、烧伤深度、致伤原因、受伤部位、治疗方法、截肢(指、趾)率、住院时间、手术费用、住院费用、治疗结局。统计热力烧伤患者截肢(指、趾)率、治疗方法、住院时间、手术费用、住院费用、治疗结局,并与特殊原因烧伤患者进行对比。结果:武汉市第三医院烧伤科12年间共收治住院烧伤患者22 329例,其中特殊原因烧伤患者3 108例,占13.92%。2005-2008年、2009-2012年、2013-2016年3个时间段的特殊原因烧伤患者逐渐增多。特殊原因烧伤患者中电烧伤1 987例(63.93%),化学烧伤632例(20.33%),热挤压伤327例(10.52%),鞭炮炸伤136例(4.38%),放射烧伤14例(0.45%),爆震伤11例(0.35%),雷电击伤1例(0.03%)。患者中男女比例为5.5:1.0。>20～30岁、>30～40岁、>40～50岁这3个年龄段特殊原因烧伤患者构成比较高,分别为18.47%(574/3 108例)、21.40%(665/3 108例)及23.84%(741/3 108例)。受伤季节中夏季(857例,占27.57%)与秋季(743例,占23.91%)无明显统计学差异,夏季明显高于春季(710例,占22.84%)及冬季(522例,16.80%),差异有统计学意义(P均<0.001)。特殊原因烧伤患者烧伤总面积构成比中,≤10%TBSA的患者最多(2 688例,占86.49%)。特殊原因烧伤患者中伴深度创面者占45.91%(1 427/3 108例),明显高于同一时期热力烧伤患者中伴深度创面者(15.39%,2 958/19 221例),差异有统计学意义(P<0.001)。特殊原因烧伤患者中受伤部位最多的为上肢(1 848例,占52.78%),其他部位依次为下肢(690例,占19.71%)、头面颈部(681例,占19.45%)及躯干和会阴(282例,占8.06%)。特殊原因烧伤患者的手术率为35.
To analyze the epidemiological data of inpatients with burns of special causes from Tongren Hospital of Wuhan University&the Third Hospital of Wuhan City,in order to provide reference for the prevention and treatment of burns resulting from special causes.Methods:The clinical data of all inpatients with burns admitted in the burn department of the Third Hospital of Wuhan from January 1st 2005 to December 31st 2016 were collected.In the patients with burn of specific causes,gender,age,injured season,total burn surface area(TBSA),burn depth,causes of injury,site of injury,treatment methods,amputation(finger,toe)rate,length of hospital stay,operation costs,hospitalization costs,outcomes of treatment were analyzed.The amputation(finger,toe)rate,treatment methods,length of hospital stay,operation costs and hospitalization costs of patients with thermal burn were calculated and compared with the burn patients with special causes.Results:A total of 22329 patients with burn were admitted to the burns department of the Third Hospital of Wuhan City during a period of 12 years,of whom 3108 suffered special-cause burn injury,accounting for 13.92%of the total number of the burn patients.Patients with special-cause burns were gradually increased in the three periods of 2005-2008,2009-2012,2013-2016.Among them,there were 1987 cases(63.93%)of electric burn,632(20.33%)chemical burn,327(10.52%)hot crush injury,136(4.38%)of firecrackers wounding and 14(0.45%)radiation burn,11(0.35%)blast injury and one lightning injury(0.03%).The ratio of men to women was 5.5:1.0.Patients with specific causes of burns accounted for 18.47%(574/3108)in the age bracket of 20-30 years,21.40%(665/3108)in the age bracket of 30-40 years,23.84%(741/3108)in the age bracket of 40-50 years.There were no significant differences in the incidence rate between the summer(857 cases,27.57%)and the autumn(743 cases,23.91%),but it was significantly higher in the summer than in the spring(710 cases,22.84%)and winter(522 cases,16.80%;χ2 spring=18.910,χ2 winter=76.399
作者
李泽
席毛毛
谢卫国
Li Ze;Xi Maomao;Xie Weiguo(Medical College of Jianghan University,Wuhan,Hubei 430056,China;Institute of Burns,Tongren Hospital of Wuhan University&The Third Hospital of Wuhan,Wuhan,Hubei 430060,China)
出处
《感染．炎症．修复》
2018年第1期3-8,共6页
Infection Inflammation Repair
基金
国家自然科学基金面上项目(81772097)
国家自然科学基金青年科学基金(81501667)
国家临床重点专科建设项目(卫办医政函[2012]649号)
湖北省自然科学基金(2016CFB473)
武汉市科学技术计划项目(2015070404010214)
武汉市卫计委临床医学科研项目(WX14B14
WX17A03
WX11A04)
关键词
烧伤
特殊原因
住院
流行病学
Burns,special cause
Hospitalization
Epidemiology
