Burn and Amputations: A Retrospective Analysis 379 Amputation out of 19,958 Burns in 10-year
Burn and Amputations: A Retrospective Analysis 379 Amputation out of 19,958 Burns in 10-year
复制标题
烧伤和截肢：回顾性分析 10 年间 19,958 例烧伤中 379 例截肢
DOI：
10.4172/2329-9096.1000462
复制
发表时间：
2018
期刊：
影响因子：
--
通讯作者：
C. Seo
中科院分区：
文献类型：
--
作者：
K. Jang;S. Joo;Jee Hee Jo;C. Seo
目的：烧伤截肢是一种生理和心理上的后遗症，其康复治疗较为复杂。我们试图回顾我们十年的截肢烧伤的经验，提供预防，治疗和rehabilitation.Methods的基础：这是一个回顾性研究的烧伤患者收治的Hallym烧伤中心，在2001年至2010年期间。结果：烧伤类型以烫伤最多，占42.1%，其次为火焰烧伤33.6%，接触性烧伤10.8%，电烧伤5.9%。15岁以下儿童占29.1%（n=5818）。平均住院时间为28.8 ± 0.9天（P<0.05），电烧伤住院时间最长，为72.6天，电烧伤住院时间最短，为16.6天。截肢379例，截肢率为1.9%，近10年来逐渐下降，从2.3-2.6%下降到1.2- 1.4%。截肢率以电烧伤最高，为19.2%。最常见的截肢部位为手指截肢168例（42.0%），其次为足趾截肢80例（16.9%），第三为经股截肢35例（15.3%）。大截肢158例，占38.9%，小截肢248例，占61.1%。结论：本研究有助于减少烧伤截肢的发生率，提高烧伤截肢者的康复效果。
Objective: Amputation in burn injury is a physical and psychological sequelae and greater complexity for the rehabilitation. We sought to review our ten years’ experience of amputation of burn to provide a basis for prevention, treatment and rehabilitation.Methods: This is a retrospective study of burn patients admitted to the Hallym Burn Centre, during the period 2001-2010. Data were collected from medical records of 19,958 patients, and the amputation occurred in 379.Results: The most common kind of burn was scald burn in 42.1%, followed by flame burn 33.6%, contact burn 10.8%, electrical burn 5.9%. The children under the age of 15 constituted about 29.1% (n=5818). Average hospital stay was 28.8 ± 0.9 days (P<0.05), the longest stayed in electrical burns in 72.6 days, and the shortest 16.6 days in scald burn. The amputation occurred in 379 out of total 19,958, the amputation rate was 1.9%, which was slowly decreased in the last ten years, changing from 2.3-2.6% to 1.2-1.4%. The amputation rate was highest in the electrical burn in 19.2%. The most common level of amputation was finger amputation in 168 as 42.0%, the 2nd was toe amputation in 80 as 16.9%, and the third was transhumeral amputation in 35 as 15.3%. Major amputation was 158 cases in 38.9%, minor amputation was 248 cases in 61.1%.Conclusion: The information in this investigation would be expected to be helpful to promote to reduce the incidence of burn amputation and to promote the outcomes of rehabilitation in burn amputee.