94例烟花爆竹伤住院患者的临床特征分析  

Analysis on the clinical features of 94 inpatients with firework-related injuries

作　　者：周雪情 谢卫国[2] Zhou Xueqing;Xie Weiguo(Department of General Surgery, Zhongnan Hospital of Wuhan University, Wuhan,Hubei 430071, China;Wuhan Third Hospital & Institute of Burns Affiliated to Tongren Hospital of Wuhan University, Wuhan 430060, Hubei, China)

机构地区：[1]武汉大学中南医院普外科,湖北武汉430071 [2]武汉市第三医院暨武汉大学附属同仁医院烧伤研究所,湖北武汉430060

出　　处：《感染．炎症．修复》2019年第2期67-71,共5页Infection Inflammation Repair

基　　金：国家自然科学基金面上项目(81772097);重大疾病防治科技行动计划(2018-ZX-01S-001)

摘　　要：目的:分析烟花爆竹伤住院患者的临床特征,探讨烟花爆竹伤的防治策略。方法:回顾性分析2013年1月-2016年12月武汉市第三医院烧伤科收治的所有烟花爆竹伤住院患者的临床资料,统计患者的性别、年龄、居住地、伤后入院时间、受伤月份、烧伤主要部位、烧伤面积和深度、烧伤严重程度、住院天数、治疗方式与结局。结果:①武汉市第三医院2013-2016年间共收治烟花爆竹伤患者94例,其中男81例,女13例,男女比例6.2∶1;年龄范围为2~70岁,中位数年龄为8.0(5.0,13.8)岁,按年龄段分组,5~14岁组患者的构成比最大,占54.3%(51/94例);各年龄段患者的性别构成比比较,差异均无统计学意义(P=0.568)。②城市患者28例,农村患者66例,城市与农村患者比例为1∶2.4;伤后入院时间的中位数为6.5(3.0,37.0)h,城市和农村患者伤后入院时间比较差异无统计学意义(Z=1.479,P=0.139)。③4年间烟花爆竹伤集中发生的时间趋势一致,主要集中于1~3月份,5月、8月、10月有3个烟花爆竹伤发生的小高峰时期。④烟花爆竹伤的受伤部位以头面颈区域为主,94例患者中有50例(53.2%)位于头面颈区域。不同烧伤部位患者的烧伤深度比较,差异具有统计学意义(χ^2=32.355,P <0.05)。⑤烧伤面积为0.1%~65.0%TBSA范围内,中位数为5.0%(2.0%,8.0%)TBSA。烧伤深度以Ⅲ度为主,Ⅲ度烧伤患者有54例(57.4%)。不同年龄段患者的烧伤面积和深度分布,差异具有统计学意义(H=19.886,H=16.109,P <0.05)。⑥烟花爆竹伤患者的烧伤严重程度主要以轻中度为主,轻中度烧伤患者数占所有患者的85.1%(80/94例)。比较不同性别、不同年龄段患者的烧伤严重程度,差异具有统计学意义(Z=2.000,H=11.864,P <0.05)。⑦94例患者中81例在我院接受了完整治疗,其住院天数的中位数为10.0(6.5,13.0)d,Ⅲ度烧伤面积和烧伤深度与患者的住院天数呈明显正相关(r面积=0.480,r深度=0.410,P <0.05)。⑧81�Objective:To analyze the clinical features of inpatients with firework-related injuries, and study the prevention and treatment strategies of firework-related injuries. Methods: The clinical data were retrospectively analyzed of inpatients with firework-related injuries admitted in the Burn Department of Wuhan Third Hospital from Jan. 2013 to Dec. 2016. All the information were collected and analyzed including the patients’ gender, age, domicile, time of admission after injury, injury month, major sites of wound, burn area and depth, severity of burns, hospital day (HOD), treatment and outcomes. Results:(1) Ninety-four patients with firework injuries were treated in Wuhan Third Hospital from 2013 to 2016, including 81 males and 13 females, with male-female ratio of 6.2 : 1;aged from 2 to 70 years, with the median age of 8.0 (5.0, 13.8) years. Among the different age groups, patients aged 5-14 years accounted for 54.3%(51/94). No significant difference existed at male-female ratio among different age groups (P=0.568).(2) There were 28 urban patients and 66 rural patients, the urban-rural ratio was 1 : 2.4. The median time of admission time after injury was 6.5 (3.0, 37.0) hours. No significant difference existed in admission time between urban and rural patients (Z=1.479, P=0.139).(3) The time trend of firework-injury occurrence was the same in the four years, mainly concentrated in January-March, and it came with three small peaks in May, August and October.(4) Head, face and neck were the main injured areas by fireworks and firecrackers, and 50 cases (53.2%) were injured at such areas. There was significant difference in burn depth by comparison with different burn location (χ^2=32.355, P<0.05).(5) The total burn surface area ranged from 0.1% to 65.0% total body surface area(TBSA), with a median of 5.0%(2.0%, 8.0%) TBSA. Fifty-four cases (57.4%) were with III degree of burn depth, and significant differences existed in total burn surface area and burn depth by comparison with different age groups (H=19.886, H

关 键 词：烟花爆竹伤 烧伤 流行病学 

分 类 号：R644[医药卫生—外科学]