5378例烧伤病例临床分析

Clinical Analysis of 5378 Burned Patients

目的 总结近 10年来我所烧伤救治进展和经验 ,寻找存在的主要问题 ,为进一步开展烧伤救治研究工作提供参考依据。方法 收集我所 1993～ 2 0 0 2年收治的 5 3 78例烧伤病人资料 ,分析一般资料、并发症、治愈率和死亡原因等 ,并与前 10年 ( 1983年～ 1992年 )病例进行比较。结果 近 10年来病人性别与年龄、烧伤原因、烧伤部位、烧伤面积与深度分布、复合伤发生率和吸入性损伤发生率等与前 10年病例无显著差别。总的治愈水平较前 10年有所提高 ,烧伤主要死亡原因为内脏损害、吸入性损伤和全身性感染 ,以内脏内脏损害为最多。结论 严重休克和吸入性损伤造成的缺血缺氧和内毒素所致烧伤早期脏器损害仍是烧伤主要死亡原因 。

Objective To evaluate the progress and experience in treatment of burn patients in the past 10 years (1993～2002) so as to bring forth ideas for further researches in burn surgery. Methods The general clinical data, complications, survival rate and causes of death in 5378 burn patients treated in our institute were collected and analyzed. The results were compared with those cases treated in our hospital during the years 1983～1992. Results in the past 10 years, there were no significant differences in the general clinical data including age, sex, causes, location, burn area and depth, incidence of combined injury and inhalation injury compared with those in the years 1983～1992. The survival rate of the cases in past 10 years was higher than that of the cases in the years 1983～1992. The main causes of death were organ dysfunction, inhalation injury and infection, among which the incidence of organ dysfunction stood foremost.Conclusions The results suggest that hypoxemia due to severe burn shock and inhalation injury, and endotoxin derived from burn wound still are the main causes of burn death. Protection of the body from early damage of postburn remains to be the most urgent problem in the burn research at present.