Trauma mechanisms and injury patterns in pediatric burn patients
Trauma mechanisms and injury patterns in pediatric burn patients
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DOI：
10.1016/j.burns.2017.07.012
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发表时间：
2018-03-01
期刊：
影响因子：
2.7
通讯作者：
Moehrlen, Ueli
中科院分区：
文献类型：
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作者：
Moehrlen, Theres;Szucs, Thomas;Moehrlen, Ueli
本研究的目的是评估儿童烧伤的频率、严重程度、确切模式和机制。对苏黎世大学儿童医院收治的急性烧伤儿童的患者记录进行了 11 年的回顾性审查。风险最高的年龄组是五岁以下儿童 (69%)。各年龄段男孩均较多，但性别失衡随着年龄的增长而加剧。婴幼儿主要以烫伤和接触性烧伤为主。相反，9岁以上的人几乎四分之三的伤害是由火焰造成的。大多数烫伤是由于拉下热液体造成的。该事故场景的典型分布主要涉及面部、躯干和手臂。所有火焰伤害中超过一半是由助燃剂造成的。 55% 的儿童被动参与，而其他儿童则将易燃物质投入火中。大多数伤害涉及面部和手臂。这项研究表明烧伤病因与年龄有关。此外，我们的结果证明了烧伤事故及其造成的伤害的多样性。这些发现可能有助于更好地确定预防的目标群体和对象。 (c) 2017 年爱思唯尔有限公司和 ISBI。版权所有。
The objective of this study was to evaluate the frequency, severity, exact patterns and mechanisms of burn injuries in children.The patient records of children with acute burns admitted to the University Children's Hospital of Zurich were retrospectively reviewed over an 11 year period.The age group with the highest risk, were children under the age of five (69%). Boys were over represented in all age groups, but the gender imbalance increased with age.Infants and toddlers were mainly injured by scalds and contact burns. Conversely, almost three quarters of injuries over the age of 9 were caused by flame. The majority of scald injuries was a result of pulling down hot liquids. The typical distribution of this accident scenario involved mainly the face, trunk and arms.More than half of all flame injuries occurred due to fire accelerants. 55% of children were passively involved while other children throwing flammable substances into a fire. Most of these injuries involved the face and arms.This study shows that burn etiology is age dependent. Additionally, our results demonstrate the diversity of burn accidents and their resulting injuries. These findings may help better specify target groups and subjects for prevention. (c) 2017 Elsevier Ltd and ISBI. All rights reserved.