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作 者:金行威[1]
机构地区:[1]绍兴第二医院烧伤治疗中心
出 处:《中国烧伤创疡杂志》1991年第4期12-13,11-62,共4页The Chinese Journal of Burns Wounds & Surface Ulcers
摘 要:我院为地区级烧伤治疗中心,为了解烧伤发病一般规律,我们对近五年接待的门诊初诊和住院病人作了初步统计和概略的社会调查,便于作出防范措施和治疗网的布局、我院自1985年1月~1989年12月共接待门诊初诊数7746例,住院1250例,男女比例2.44:1,治愈率99.1%,死亡率0.9%。全地区五年内门诊初诊人数共23238人,住院数共2516人,年平均分别为4647.6人和503.2人。以本地区年平均人口410.3万为基数,则全区年平均发病率和住院率分别为人口的0.113%和0.012%,发病时间以5~9月五个月中最多,占全年总门诊初诊数的53.81%。年龄分布:成人占总数的66.76%,小儿占总数的29.67%,老年占总数的3.57%;职业分布:工人占总数71.6万%,农民占19.21%,学生占4094%,干部占2.19%,其他占2.06%;致伤性质:工伤占总数的43.50%,以违章疏忽造成占多数,其次是设备简陋陈旧,年久失修,带“病”运转等。真正缺乏安全知识占少数。非工伤占55.59%,大多为生活中不慎,如打破热水瓶,倾倒热茶热汤等。人为致伤占0.91%;烧伤面积从0.5~94%,Ⅲ°面积0~87%,平均TBSA和Ⅲ°BSA分别为9.50±15.37%和1.40±5.26%;烧伤原因:热液占43.32%,火焰占25.46%,蒸汽占10.35%,热压占2.20%,其他热力占5.49%,爆炸占1.83%,化学占7.05%,电击占2.11?Our hospital is a prefectore level burn centre We carried out a social investigation among the inpatients and outpatients in the past five years, for the purpose of making a plan for taking meas-ures of prevention and setting up network of treatment. From January 1985 to December 1989, we received 7746 outpatients and 1250 inpatients. Male: female = 2.44:1, healing rate: 99.1% death rate: 0.9% In the past five years, the total number of outpatients of first visit was 23238 in the prefecture region and the total number of inpatients was 2516 and the average annual number of outpatients and inpatients was 4647.6 and 503.2 respectively. In our prefecture, we have a population of 4, 103, 000. Annual burn morbidity was 0.113% Hospitalization rate: 0.012% The highest incidence in a year was in the months from May to September, accounted for 5381 % of the total outpatients. Age: Adults 66.76%, Children 29 67%and the old 3.57% Oc-cupation: Workers 71.6%, Peasants 19.21%. Stu-dents 4.94% Cadre 2.19% and others 2.06% In-dustrial accident 43.5% including operating against the rules and regulations or using obsolete and unrepaired equipment. Burns other than in-dustrial accident 55.59% including overturn of a thermosbottle and spilling of hot liquid, etc. Artificially imposed burn 0.91 % Burn area: 0.5 to 94%TBSA. 3rd degree burn area 0 to 87% Average burn area 9.50 15.37% Average 3rd degree burn area 1.40 5.26% Causes: Hot liquid 43.32% Flame 25.46% Steam 10.35%, Hot pressing 2.2% Other thermal injuries 5.49%, Explosion 1.83% Chemical burns 7.05% Electric shock 2.11% and Electric arc 2.20%
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