大面积烧伤住院患者临床特征及诊疗情况分析  

Analysis of clinical characteristics and treatment in inpatients with extensive burns

作　　者：侯亚红 李娜 张霞霞 邸红军 Hou Yahong;Li Na;Zhang Xiaxia;Di Hongjun(Institute for Neurotrauma and Repair,Characteristic Medical Center of Chinese People′s Armed Police Force,Tianjin 300162,China;Institute for Burn,Frostbite and Tissue Function Reconstruction,Characteristic Medical Center of Chinese People′s Armed Police Force,Tianjin 300162,China;Department of Disinfection and Supply,Characteristic Medical Center of Chinese People′s Armed Police Force,Tianjin 300162,China)

机构地区：[1]武警特色医学中心神经创伤及修复研究所,天津300162 [2]武警特色医学中心烧伤冻伤及组织功能重建研究所,天津300162 [3]武警特色医学中心消毒供应科,天津300162

出　　处：《中华损伤与修复杂志(电子版)》2025年第2期128-132,共5页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

摘　　要：目的分析大面积烧伤住院患者的临床特征,为大面积烧伤的预防与救治提供相关依据。方法回顾性分析武警特色医学中心烧伤冻伤及组织功能重建研究所2014年1月1日至2023年12月31日收治的符合纳入与排除标准的259例大面积烧伤住院患者临床资料,包括性别、年龄、致伤原因、致伤月份及季节、Ⅲ度烧伤面积、治疗方式、临床转归、特级护理天数及医疗支付方式等。分析大面积烧伤住院患者的临床特征及患者死亡的影响因素。结果259例患者中男220例,女39例,男女比例为5.64∶1,男性多于女性;受伤人群主要集中在中、青年;致伤原因主要为热力烧伤,共236例(91.12%),其中以火焰烧伤为主,共151例(58.30%);入院患者例数最多的月份为8月,共53例(20.46%),最多的季节为夏季(6月至8月),共119例(45.95%);烧伤部位主要为上肢253例次(97.68%)、下肢233例次(89.96%)、躯干229例次(88.42%)、头面颈225例次(86.87%);手术治疗208例(80.31%),保守治疗51例(19.69%);治愈好转193例(74.52%),自动出院53例(20.46%),死亡13例(5.02%);以自费为主要医疗付费方式,共231例(89.19%);年龄、休克、Ⅲ度烧伤面积、特级护理天数为大面积烧伤患者死亡的影响因素(P<0.05)。结论大面积烧伤好发于夏季,受伤人群主要集中在中、青年,男性多于女性,热力烧伤为主要致伤原因,医疗支付方式以自费为主。Objective To analyse the clinical characteristics of inpatients with extensive burns,and provide the relevant evidence for the prevention and treatment of extensive burns.Methods A retrospective analysis was conducted on the clinical data of 259 inpatients with extensive burns who met the inclusion and exclusion criteria and were admitted to the Institute for Burn,Frostbite and Tissue Function Reconstruction at the Characteristic Medical Center of Chinese People′s Armed Police Force from January 1,2014 to December 31,2023,including gender,age,cause of injury,month and season of injury,area of full-thickness burn,treatment method,clinical outcome,days of special care,medical payment method,etc.Analyzed the clinical characteristics and factors influencing mortality in inpatients with extensive burns.Results There were 220 males and 39 females,with a ratio of 5.64∶1,and males were significantly more than females.The injured population was mainly concentrated among middle-aged and young people.The main cause of injury was thermal burns(236 cases,91.12%),with flame burns constituting the majority(151 cases,58.30%).The month with the highest number of hospitalized patients was August,with a total of 53 cases(20.46%),and the season with the highest number was summer(June to August),with a total of 119 cases(45.95%).The main burn sites were 253 cases(97.68%)in the upper limbs,233 cases(89.96%)in the lower limbs,229 cases(88.42%)in the trunk,and 225 cases(86.87%)in the head,face,and neck.Totally 208 cases(80.31%)were treated with surgery,and 51 cases(19.69%)were treated conservatively.A total of 193 cases(74.52%)were cured and improved,53 cases(20.46%)were automatically discharged,and 13 cases(5.02%)died.Out of 231 cases(89.19%),self payment was the main medical payment method.Age,shock,area of full-thickness burn,and special care duration were the influencing factors for the death of patients with extensive burns(P<0.05).Conclusion Extensive burns are more common in summer,the injured population is mainly concentrate

关 键 词：大面积烧伤 住院患者 临床特点 

分 类 号：R47[医药卫生—护理学]