患有烧伤并发症的儿科患者的流行病学特征和2016年至2021年的影响:一项多中心回顾性研究
Xiaohui Liu1, Jing Liu1, Xinyu Wang2
1Department of Burn and Plastic Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Translational pediatrics
|June 16, 2025
概括
这项大规模的研究揭示了中国的关键儿科烧伤并发症,突出了呼吸道感染,贫血,心肌损伤和食道狭窄的特定年龄风险. 了解这些流行病学模式对于预防年轻烧伤患者的严重结果至关重要.
科学领域:
- 儿科烧伤流行病学
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 现有的关于烧伤后并发症的研究规模和范围有限.
- 这项研究解决了对中国儿科烧伤的大规模流行病学数据的需求.
- 该研究旨在识别和报告儿童中烧伤并发症的发生情况.
研究的目的:
- 描述中国儿科烧伤的流行病学特征.
- 为了确定与儿科烧伤相关的常见并发症.
- 为儿童烧伤的预防策略和临床管理提供信息.
主要方法:
- 来自富通儿科发展研究中心 (FRCPD) 数据库的11,092个儿科烧伤病例医疗记录的回顾性分析.
- 2016年1月1日至2021年12月31日期间收集的数据.
- 纳入标准集中在ICD-10代码T20-T32上,涵盖各种烧伤和腐蚀分类.
主要成果:
- 患病率:呼吸道感染 (5.5%),休克 (2.8%),低蛋白质血 (1.3%).
- 特定年龄的发现:儿童1岁以下的呼吸道感染和贫血最高;15-18岁儿童的心肌损伤和食道狭窄最高.
- 特定原因的并发症:与热水烧伤 (3.7%),火焰 (14.7%),化学 (26.6%) 相关的呼吸道感染;与电烧有关的心肌损伤 (8.5%);与冲击相关的干部烧伤 (24.4%) 和低蛋白血症 (10.5%).
结论:
- 男孩,幼儿 (1-3岁) 和城市儿童容易受到热水烧伤的伤害.
- 较大的儿童 (4-7岁) 面临着火焰烧伤的冲击风险.
- 年龄显著影响并发症类型,婴儿易患感染/贫血,青少年易患心肌损伤/食道狭窄.
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