儿童烧伤656例临床分析

Clinical characteristics analysis of 656 burn children

目的:分析儿童烧伤的特点,探讨预防或减少儿童烧伤的措施。方法:对656例烧伤患儿的性别、年龄、致伤因素、烧伤部位、烧伤程度、季节分布、地点、家庭及监护人文化程度等进行分析。结果:656例儿童烧伤中,男女比为1.66∶1,1～3岁患儿为最多(383例,58.38%),以热液烫伤为最多(481例,73.33%),以头面颈部及躯干为主(50.30%、64.63%),中度为主(47.37%),多发生在夏季(42.63%),烧伤发生的地点大部分在家中(81.86%),农村患儿多于城市,家中有父母或监护人在场的占75.46%。结论:儿童烧烫伤主要是监护人的疏忽大意、照顾不周所致,提高监护人的安全意识和加强烧伤知识宣传、普及,是预防或减少儿童烧烫伤发生的有效措施。

Objective：To analyse the clinical features of child burn and explore the measures of preventing or decreasing the child burn. Methods ： The data of the sex, age, factors, site and extent of injury, seasonal distribution, place, family situation and educational level of the supervisors of 656 burn children were analysed. Results：For 656 burn children, the rate of male versus female was 1.66： 1, 1 to 3 years old children were often happened（ 383 cases,58.38% ）, the most risk factors were hydrotherm（481 cases,73.33% ）. Head,face,neck and trunk were the most common burn sites（50.30% and 64.63% ）,moderate level of burn was most usual（47. 37% ）, the peak season was summer（42.63% ）, most burns occurred at home （81.86%）. Burn children in rural areas were more than those in urban areas and parents or guardian were on the scene（75.46% ）. Conclusions：Child burn is principally caused by guardians carelessness and careless for child. Improving safety consciousness, strengthening the burn knowledge publicity and popularization are effective measures to prevent and decrease the child burn.