小儿烧伤的临床评估:一项回顾性研究

Ezgi GÜN SOYTÜRK, Ümmühan Kiliç, M. Oruç
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引用次数: 0

摘要

烧伤是儿科创伤的一个重要方面,尤其多发于幼儿期,涉及到死亡率和发病率都较高的重要患者群体。本研究在现有文献的基础上,探讨了一家三甲医院烧伤科在 2016 年 1 月 1 日至 2023 年 6 月 20 日期间收治的 0-6 岁儿童烧伤事件。此外,它还对烧伤病因、分布、严重程度和治疗干预措施进行了分析,并对 241 名儿科烧伤患者(主要是 0-18 个月大的患者)进行了分类。根据西格蒙德-弗洛伊德的 "性心理发展阶段",儿童被分为三组:0-18个月、18-36个月和36-72个月。统计分析使用 SPSS 25 进行,预定显著性水平为 0.05。 烧伤通常表现为烫伤、火焰烧伤和化学烧伤,烧伤面积在 11-20% 之间,主要为二度烧伤。治疗方法包括:68%的病例采用包扎和药物治疗相结合的方法,16.2%的病例在全身麻醉下进行清创,15.8%的病例进行植皮。感染率为 10.8%,主要病原体为绿脓杆菌,死亡率为 0.8%。平均住院时间为 9 天。 该研究强调,在处理 6 岁以下儿童烧伤时,精心策划至关重要,并强调了家长因素的影响,提倡对家长进行安全措施教育,这是降低烧伤发生率的关键一步。研究强调了流行病学调查在理解和预防烧伤根源方面的关键作用,并建议开展更广泛的年龄范围研究和多中心方法,为有效管理烧伤病例提供更可靠的流行病学见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CLINICAL ASSESSMENT OF PEDIATRIC BURNS: A RETROSPECTIVE STUDY
Burn injuries represent a significant aspect of pediatric traumas, particularly prevalent during early childhood, involving a critical patient population characterized by elevated mortality and morbidity rates. This study explores burn incidents in children aged 0-6 years admitted to the Burn Unit of a tertiary hospital between January 1, 2016, and June 20, 2023, within the context of the existing literature. Additionally, it conducts an analysis of burn etiology, distribution, severity, and treatment interventions, categorizing a sample of 241 pediatric burn patients, predominantly within the 0-18 month age range. Children are categorized into three groups based on Sigmund Freud's "psychosexual development stages": 0-18 months, 18-36 months, and 36-72 months. Statistical analyses were performed using SPSS 25, with a predetermined significance level of 0.05. Burns commonly present as scalds, flames, and chemical burns, primarily falling within the 11-20% range and predominantly involving second-degree burns. Treatment approaches include a combination of dressing and medical treatment in 68% of cases, debridement under general anesthesia in 16.2%, and grafting in 15.8%. The infection rate is 10.8%, with Pseudomonas Aeruginosa emerging as the predominant pathogen, and the mortality rate reported at 0.8%. The average hospitalization duration is 9 days. Highlighting the paramount importance of meticulous planning in managing burns in children under 6 years old and emphasizing the influence of parental factors, the study advocates for educating parents on safety measures as a crucial step in mitigating burn incidence. Stressing the pivotal role of epidemiological investigations in comprehending and preventing the root causes of burns, the research suggests that more extensive age-range studies and multicenter approaches could provide more robust epidemiological insights for the effective management of burn cases.
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