广西医学2018，Vol.40Issue(2)：121-124,4.DOI:10.11675/j.issn.0253-4304.2018.02.01
特别重大火灾爆炸事故烧伤伤员的伤情特点
Injury characteristics of burn patients in devastating fire and explosion accident
摘要
Abstract
Objective To explore the injury characteristics of burn patients in the devastating fire and explosion accident. Methods The data of 31 burn patients in a devastating fire and explosion accident were retrospectively analyzed, including the general information (gender,age and occupation),general condition of burn injuries(the extent,degree and site of burn,combined injury,operation frequency and hospital stay),therapy and outcome. The clinical features were compared between the ordinary burn patients and ICU burn patients. The efficiency of tympanic membrane perforation for predicting the explosion-related lung injury in burn patients was analyzed. Results The median age of 31 burn patients was 27 years. The patients were all males. The 31 burn patients suffered from the deep second degree burn or the deep second degree burn combined with the third degree burn. The most common sites of burn included face,extremities,neck and head. Mild or moderate burn was the main type. Nine patients were assessed as critical case and 22 patients as ordinary cases. Open skin trauma,ocular injury and tympanic membrane perforation were the main combined injuries. Ten patients(32. 3％) received therapy in ICU. Thirty patients were improved and discharged,and death occurred in one patient(3. 2％). Compared with the ordinary patients,the burn patients in ICU had more severe general burn degree,larger burn area of deep second degree and third degree,larger total burn area,more operation frequency,longer hospital stay,and higher proportion of the cases complicated with inhalation injury or trunk burn(all P<0. 05). The area under the receiver operating characteristic curve for tympanic membrane perforation in predicting the explosion-related lung injury was 0. 590(P>0. 05). Conclusion Certain laws are observed in the injury characteristics of burn patients in the devastating fire and explosion accident. A good master of the management for batches of burn patients can provide a reference for other hospitals at various levels to handle the similar fire and explosion accidents.关键词
重大爆炸/重大火灾/烧伤/应急救援/鼓膜穿孔Key words
Massive explosion/Devastating fire/Burns/Emergency rescue/Tympanic membrane perforation分类
医药卫生引用本文复制引用
闫海洋,孙圣凯,王志宏,郑林林,何久智,付浩,张婷,陈孝储,乔娅楠,张永忠,陈冬..特别重大火灾爆炸事故烧伤伤员的伤情特点[J].广西医学,2018,40(2):121-124,4.基金项目
国家自然科学基金(71533008) （71533008）
