摘要
目的:分析急诊面部外伤患儿的临床特征。方法:本研究为病例对照研究,选取2021年1月至2022年12月北部战区总医院烧伤整形科收治的679例面部外伤患儿的临床资料。统计患儿性别、年龄、受伤时间、受伤后就诊时间、受伤原因、伤口部位、伤口长度、伤口深度、手术情况、术后抗瘢痕措施、术后并发症的发生情况、术后瘢痕和疼痛情况。结果:男385例,女294例,男女比例约1.3∶1,其中3岁患儿占比最多。患儿面部外伤的发生时间主要集中在8:00~22:00。98.3%的面部外伤患儿于伤后6 h内就诊。患儿面部外伤原因主要为撞伤。伤口深度(0.94±0.31)cm,伤口长度(3.44±0.85)cm。6~9岁和10~14岁患儿的手术时间少,术中出血量少,伤口愈合时间少,术后并发症少,临床治疗效果好。多数患儿采取联合治疗方法进行抗瘢痕治疗。术后3个月患儿的温哥华瘢痕量表(VSS)评分[(6.28±1.28)分]和视觉模拟评分法(VAS)评分[(2.97±0.42)分]低于术后1个月[(8.36±1.52)分、(3.25±0.31)分],差异有统计学意义( P<0.05)。 结论:患儿面部外伤有特定的发病规律,针对性的预防措施可以减少其发生。患儿面部外伤后应及时到整形外科就诊通过整形美容技术治疗,联合多种抗瘢痕治疗措施,将术后瘢痕发生的可能性降到最低。
ObjectiveTo analyze the clinical features of children with emergency facial trauma.MethodsThis study was a case-control study.Clinical data of 679 children with facial trauma admitted to the emergency department of Burns and Plastic Surgery in the Northern Theater General Hospital from January 2021 to December 2022 were selected.Gender,age,time of injury,time to seek medical attention after injury,cause of injury,wound location,wound length,wound depth,operation,postoperative anti-scar measures,incidence of postoperative complications,postoperative scars and pain were analyzed.ResultsThere were 385 males and 294 females,the male to female ratio was about 1.3∶1,among which the 3 years old children accounted for the largest proportion.The occurrence time of facial trauma in children was mainly concentrated between 8:00 and 22:00.A total of 98.3%of children with facial trauma were treated within 6 hours after injury.The main cause of facial trauma in children was collision.The depth of the wound was(0.94±0.31)cm,and the length of the wound was(3.44±0.85)cm.The 6 to 9 years old group children and the 10 to 14 years old group children had less operation time,less intraoperative blood loss,less wound healing time,less postoperative complications and good clinical treatment.Most children were treated with combination therapy for anti-scar treatment.The vancouver scar scale(VSS)score[(6.28±1.28)points]and visual analogue scale(VAS)score[(2.97±0.42)points]at 3 months after surgery were lower than those[(8.36±1.52)points and(3.25±0.31)points]at 1 month after surgery,and the differences were statistically significant(P<0.05).ConclusionsChildren′s facial trauma has a specific incidence rule,and targeted preventive measures can reduce its occurrence.After facial trauma,children should go to the plastic surgery department in time for treatment through plastic and aesthetic technology,combined with a variety of anti-scar treatment measures,to minimize the possibility of postoperative scar occurrence.
作者
付洋
岳欣欣
张彬柱
Fu Yang;Yue Xinxin;Zhang Binzhu(Department of Burn and Plastic Surgery,General Hospital of Northern Theater Command,Shenyang 110000,China;He University,Shenyang 110125,China)
出处
《中国临床实用医学》
2023年第5期40-44,共5页
China Clinical Practical Medicine
关键词
面部损伤
瘢痕
瘢痕增生
愈合
Facial injury
Scar
Scar hyperplasia
Healing
