老年烧伤810例临床分析

Analysis of 810 elderly burn patients

关键词:  老年  烧伤  临床分析

Key words:  elderly  burn injury  clinical analysis

摘要:

[目的] 探讨60岁以上老年烧伤患者的临床特点及治疗经验。[方法] 收集整理了郑州市第一人民医院和上海长海医院2002年1月—2010年12月间810例年龄在60岁以上老年烧伤患者，对病人的年龄，性别，致伤原因，死亡率及死亡原因进行回顾性分析。[结果] 在810例老年烧伤患者中，家庭烧伤的比率占66.91%；患者的平均年龄从2002年的72.53岁到2011年的73.58岁。老年烧伤的临床治愈好转率为91.49％，死亡率为8.51％。死亡的主要原因是多脏器功能衰竭。 [结论] 家庭生活烧伤是老年烧伤的主要因素，老年烧伤患者的患病年龄逐步提高。对于老年烧伤患者的救治，要注重脏器功能的保护和创面的处理。

Abstract:

[Objective] To evaluate clinical characters, prevention and treatment for the elderly burn patients. [Methods] A prospective case series observation was performed from January 2002 to December 2010 in 810 elderly burn patients with age over 60 years from the Changhai hospital and the First People's Hospital in Zhengzhou City. The information such as demographics, clinical diagnosis, treatment, causes of injury, mortality rate and causes of death were recorded. [Results] The rate of burn at home was 66.91%. The average age of onset was 72.53 in 2002 and increased to 73.58 in 2010. The clinical cure rate for elderly burn patients was 91.49％ and the mortality rate was 8.51%. The leading cause of mortality was organ dysfunction. [Conclusions] Most of the burns happened at patient home and the age of onset was continually increased in last 10 years. For treatment of elderly burn patients, we should pay great attention to the protection of organ dysfunction and handling of wound.