摘要
目的分析大面积烧伤住院患者的临床特征,为大面积烧伤的预防与救治提供相关依据。方法回顾性分析武警特色医学中心烧伤冻伤及组织功能重建研究所2014年1月1日至2023年12月31日收治的符合纳入与排除标准的259例大面积烧伤住院患者临床资料,包括性别、年龄、致伤原因、致伤月份及季节、Ⅲ度烧伤面积、治疗方式、临床转归、特级护理天数及医疗支付方式等。分析大面积烧伤住院患者的临床特征及患者死亡的影响因素。结果259例患者中男220例,女39例,男女比例为5.64∶1,男性多于女性;受伤人群主要集中在中、青年;致伤原因主要为热力烧伤,共236例(91.12%),其中以火焰烧伤为主,共151例(58.30%);入院患者例数最多的月份为8月,共53例(20.46%),最多的季节为夏季(6月至8月),共119例(45.95%);烧伤部位主要为上肢253例次(97.68%)、下肢233例次(89.96%)、躯干229例次(88.42%)、头面颈225例次(86.87%);手术治疗208例(80.31%),保守治疗51例(19.69%);治愈好转193例(74.52%),自动出院53例(20.46%),死亡13例(5.02%);以自费为主要医疗付费方式,共231例(89.19%);年龄、休克、Ⅲ度烧伤面积、特级护理天数为大面积烧伤患者死亡的影响因素(P<0.05)。结论大面积烧伤好发于夏季,受伤人群主要集中在中、青年,男性多于女性,热力烧伤为主要致伤原因,医疗支付方式以自费为主。
Objective To analyse the clinical characteristics of inpatients with extensive burns,and provide the relevant evidence for the prevention and treatment of extensive burns.Methods A retrospective analysis was conducted on the clinical data of 259 inpatients with extensive burns who met the inclusion and exclusion criteria and were admitted to the Institute for Burn,Frostbite and Tissue Function Reconstruction at the Characteristic Medical Center of Chinese People′s Armed Police Force from January 1,2014 to December 31,2023,including gender,age,cause of injury,month and season of injury,area of full-thickness burn,treatment method,clinical outcome,days of special care,medical payment method,etc.Analyzed the clinical characteristics and factors influencing mortality in inpatients with extensive burns.Results There were 220 males and 39 females,with a ratio of 5.64∶1,and males were significantly more than females.The injured population was mainly concentrated among middle-aged and young people.The main cause of injury was thermal burns(236 cases,91.12%),with flame burns constituting the majority(151 cases,58.30%).The month with the highest number of hospitalized patients was August,with a total of 53 cases(20.46%),and the season with the highest number was summer(June to August),with a total of 119 cases(45.95%).The main burn sites were 253 cases(97.68%)in the upper limbs,233 cases(89.96%)in the lower limbs,229 cases(88.42%)in the trunk,and 225 cases(86.87%)in the head,face,and neck.Totally 208 cases(80.31%)were treated with surgery,and 51 cases(19.69%)were treated conservatively.A total of 193 cases(74.52%)were cured and improved,53 cases(20.46%)were automatically discharged,and 13 cases(5.02%)died.Out of 231 cases(89.19%),self payment was the main medical payment method.Age,shock,area of full-thickness burn,and special care duration were the influencing factors for the death of patients with extensive burns(P<0.05).Conclusion Extensive burns are more common in summer,the injured population is mainly concentrated amony middle-aged and young people,there are more males than females,thermal burns are the main cause of injury,the medical payment method is mainly self funded.
作者
侯亚红
李娜
张霞霞
邸红军
Hou Yahong;Li Na;Zhang Xiaxia;Di Hongjun(Institute for Neurotrauma and Repair,Characteristic Medical Center of Chinese People′s Armed Police Force,Tianjin 300162,China;Institute for Burn,Frostbite and Tissue Function Reconstruction,Characteristic Medical Center of Chinese People′s Armed Police Force,Tianjin 300162,China;Department of Disinfection and Supply,Characteristic Medical Center of Chinese People′s Armed Police Force,Tianjin 300162,China)
出处
《中华损伤与修复杂志(电子版)》
2025年第2期128-132,共5页
Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
关键词
大面积烧伤
住院患者
临床特点
Extensive burns
Inpatients
Clinical characteristics
作者简介
侯亚红,武警特色医学中心第三党总支总护士长,副主任护师,曾任武装警察部队护理专业委员会护理风险管理学组委员,武装警察部队护理专业委员会护理管理学组秘书,天津市护理学会第七、八届理事会神经专业委员会委员等职务,现任天津市护理学会灾害护理专业委员会主任委员,同时担任《中华急危重症护理》《天津护理》杂志审稿专家。从事护理工作20余年,先后参加抗击非典、武汉抗疫等卫勤任务。主持完成科研课题6项,主编专著或参编著作、教材10余部,获实用新型专利5项,参与国家自然科学基金项目1项。在《护理管理杂志》《解放军护理杂志》等核心期刊发表论文20余篇。先后荣立个人三等功2次,曾被中华护理学会评为“杰出护理工作者”,被天津市评为“人民满意的好护士”;通信作者:邸红军,Email:dihongjun7011@126.com。
