216例老年烧伤患者临床资料回顾性分析  

Retrospective analysis of clinical data in 216 elderly burn patients

作　　者：蔡少甫[1] 郑庆亦[1] 陈锦河[1] 郑健生[1] 郭毅斌[1] 蔡林碧珍[1] 邹紫红[1] 

机构地区：[1]中国人民解放军第175医院烧伤科,363000

出　　处：《福建医药杂志》2009年第2期22-24,共3页Fujian Medical Journal

摘　　要：目的探讨老年烧伤患者的临床特点,总结治疗经验。方法回顾性调查分析216例65岁以上老年烧伤患者的临床资料。结果治愈189例,死亡27例,其中因放弃治疗导致死亡12例,其他死亡原因主要为肺炎和多器官功能衰竭。结论年龄、烧伤面积、Ⅲ度烧伤、吸入性损伤、火焰烧伤、延迟入院和伤前疾病都是影响老年烧伤患者死亡的危险因素。早期液体复苏和脏器功能的保护、烧伤创面的治疗、胃肠道营养支持和生长激素的应用可以改善预后。Objective To evaluate clinical characteristics of elderly burn patients and to summarize the experience of therapy approach. Methods The clinical data of 216 cases over 65 years old in burn patients was reviewed retrospectively. Results There were 189 cases of curable and 27 cases of death. As for the cause of death, some lead to death due to give up the treatment of 12 cases, other major causes of death were pneumonia and multiple organ failure. Conclusion Age, burn size, third-degree burns, inhalation injury, flame injury, delay in hospital management and preexisting diseases are all risk factors for death in elderly burn patients. Early fluid resuscitation and organ function protect, burn wound treatment, enteral nutrition support and growth hormon therapy may improve the prognosis.

关 键 词：老年 烧伤 危险因素 预后分析 

分 类 号：R644[医药卫生—外科学]