64320例烧伤病人的分析

THE ANALYSIS OF 64 320 BURN PATIENTS

本文收集和分析了全军１９８０～１９９２年２９个单位烧伤住院病人６４３２０例，并与前阶段（１９５８～１９７９年）分析的１６个单位４８９７８例病人进行了对比。本阶段病人伤情虽较前阶段为重，但平均住院日明显缩短，特别有Ⅲ度者缩短达１２ｄ之多，总ＬＡ５０（半数面积死亡率）及有Ⅲ度ＬＡ５０分别由前阶段的７５．９３％和４６．１９％提高到９６．９９％和９０．８７％。治疗进步的主要原因，与本阶段广泛采用了早期切痂全覆盖植皮以及休克和感染的防治进步有关。另分析本阶段主要死亡原因为内脏功能不全（５０．３０％）、全身性感染（１９．０４％）和吸入性损伤（１６．２４％），三者占死亡总数的８５％以上。为今后防治的重点。内脏功能不全中又以肺功能不全居首位，认为与吸入性损伤关系密切。

burn patients admitted in 29 different hospitals in the year of 1980-1992 were col-lected and analyzed. The results were compared with that obtained from the analysis of 489 78 burn pa-tients in 16 different hospitals in the year of l958-1979. As a whole , the burns in the present period ismore serious than that in the last but the average hospitazition day of present period was apparently short-er than the last , especially those with Ⅲ°; the LA50 and LAs0 LA。 with Ⅲ°were increased separately from75. 93%and 46. 19%of the last period to 96. 99%and 90. 87%of the present. The early excision andskin grafting adapted in this period as well as the inprovement of shock and sepsis prevention and treat-ment were considered to be main causes of increase of curing rate. Internal organ insufficiency (50. 30%),infection(19. 04%)and inhalation injury (16. 24%)were accused to be the major causes of burn deathand might be considered to be the forthcoming main targets of burn treatment. Among the three maincauses of burn death, the internal organ insufficiency was the leading one,which migh the related closelywith the inhalation injury.