煤气烧伤病例分析

目的对煤气烧伤进行分析，提出预防煤气烧伤的建议措施。方法回顾性分析2014年1月至2015年12月煤气烧伤患者165例临床资料。结果男女之比为1．04：1，以31-60岁年龄段最为常见，占70．3％；7-10月份为煤气烧伤高发期，占全年的59．4％；以瓶装煤气烧伤为主，管道燃气烧伤少见，最常见于出租房、家庭或酒店厨房内烧伤；烧伤部位以双上肢和头面颈最为常见，以二度烧伤为主，烧伤合并吸入性损伤患者占20．6％。结论煤气烧伤是住院患者火焰烧伤的首位原因，主要发生在出租房内购买非正规渠道经营的“黑煤气”，建议相关部门应大力宣传煤气使用安全事项，提醒市民不要购买非正规渠道经营的“黑煤气”。

Objective To analyze the causes of gas burns and to explore the preventions. Methods 165 cases clinical data of gas burn from Jan. 2014 to Dec. 2015 was retrospectively analyzed. Results The ration of male to female was 1.04： l, the age of burned patients was mainly on from 31 years old to 60 years old, accounting for 70.3 % of the population of the patients ; the incidence of gas burns was high during Jul. to Oct, accounting for 59.4% of the year; the main gas burns incidence is from canned gas in rental house, hotel kitchen; usually the gas burns the upper limbs, head and neck within II degree of burns and was accompanied inhalation injury. Conclusion Gas burns is the leading cause of fire burns mainly in the rental house where the people buy the canned gas through informal channels. We suggest that the relevant department should vigorously guide citizens on how to use the gas safely and remind them not to buy the informally-sold canned gas.