工业化学废水烫伤的临床特点与相对危险因素分析

Clinical Characteristics and Relative Dangerous Factors of Industrial Chemical Waste Water Scald

目的 :工业化学废水烫伤系化学物质烧伤的一种特殊类型 ,但作为烧伤伤因诊断术语使用未见报道。为进一步了解这类烫伤的发病与临床特点及相对危险因素 ,我们对以往的病例进行了回顾性总结。方法 :全面复习 1 985年 8月～ 2 0 0 1年 7月作者所治疗的 1 4例成年工业化学废水烫伤患者的临床资料 ,并与同期住院治疗且与之基本条件相近的患者进行比较研究 ,探讨其发病机制、临床特点与转归 ,分析死亡相对危险性。结果 :工业化学废水烫伤病人的主要临床异常表现于造血、呼吸与消化系统 ,病死率为 64 2 9% ,明显高于普通水烫伤病人(2 3 73 % ) ,他们的相对危险性 (比数比 ,OR)为 5 79;X2 =8 51 ,p <0 0 1。结论 :工业化学废水烫伤的主要临床表现不同于普通水烫伤 。

Objective: Industrial chemical waste water scald is a special kind of scald, thus far, this term has not been found in the diagnosis of burn and scald.Method: In order to have a better understanding of the clinical characteristics and relative dangerous factors of industrial chemical waste water scald, had abnormalities in hemopoietic, respiratory and digestive systems and had a death rate of 64.29%, higher than that of ordinary water scald (23.73%).Results: The relative dangerous OR was 5.79, (X2= 8.51, P<0.01). Conclusion: The clinical characteristic of industrial chemical waste water scald was different from that of ordinary water scald. The death rate of industrial chemical waste water scald was higher than that of ordinary water scald.