从录取到解除-一个单一机构的总摩擦烧伤审查
Oscar I Estrada Munoz1, Andrew F Sabour1, Joseph T Carroll1
1Division of Surgery, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV 89102, USA.
概括
需要住院治疗的摩擦烧伤通常涉及高能量创伤和相关伤害. 在严重病例中,手术干预,包括皮肤移植,是常见的,需要密切监测.
科学领域:
- 创伤外科 手术 创伤外科
- 燃烧管理 燃烧管理
- 伤口护理 伤口护理
背景情况:
- 摩擦烧伤的治疗方法各不相同,有些需要住院和手术.
- 门诊治疗是常见的,但严重的病例需要高级护理.
研究的目的:
- 审查需要住院治疗的摩擦烧伤的原因,治疗和结果.
- 确定与手术干预和延长护理相关的因素.
主要方法:
- 经过验证的烧伤中心对摩擦烧伤入院的回顾性审查 (2016-2020年).
- 分析患者的人口统计,损伤特征,手术干预和结果.
主要成果:
- 34%的入院患者需要手术,18%需要分厚皮肤移植.
- 手术患者年轻,创伤性脑损伤率更高,住院时间更长.
- 操作组的第三度烧伤表面面积显著增加.
结论:
- 住院摩擦烧伤与高能机械和同时发生的伤害有关.
- 手术管理通常涉及多种手术和严重烧伤的皮肤移植.
- 密切监测对于患有高伤害严重性得分的患者至关重要,他们可能需要进行外科切除.
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