烧伤患者的短期结果:三级医院的四年经验
Andreea Ungureanu1,2, Silviu-Adrian Marinescu2,3, Carmen Giuglea3
1Doctoral School, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Maedica
|January 15, 2026
概括
严重烧伤,特别是三度伤害,显著增加住院时间和重症监护室 (ICU) 的需求. 高龄和烧伤严重程度等因素是烧伤患者恢复时间较长的关键指标.
科学领域:
- 创伤护理和烧伤管理.
- 烧伤伤害的临床流行病学.
- 重症监护室 (ICU) 的资源利用情况.
背景情况:
- 烧伤是全球主要的创伤原因,导致显著的死亡率.
- 之前的研究确定了年龄,烧伤大小 (总体表面积 - BSA) 和烧伤深度作为预后因素.
- 了解影响住院时间的因素对于资源分配和患者管理至关重要.
研究的目的:
- 确定与烧伤患者住院时间相关的因素.
- 分析来自第三级急诊中心烧伤病例的临床数据.
- 为了确定延长住院的预测因素,烧伤病重症监护室时间和机械通风.
主要方法:
- 在2020-2023年期间在"巴格达萨-阿尔塞尼"急诊临床医院管理的337个烧伤病例的回顾性审查.
- 收集的数据包括患者人口统计,烧伤严重程度 (程度,BSA) 和结果 (住院时间,烧伤ICU停留,机械通风).
- 使用SPSS版本26进行统计分析.
主要成果:
- 该研究包括337名患者,死亡率为14.54%;36.51%的死亡与吸入伤害有关.
- 大多数患者是男性 (59.05%),年龄为51-60岁 (21.36%),烧伤影响<10%的BSA (50.45%) 和主要是三度 (60.2%).
- 平均住院时间为16.5天 (8.5天在烧伤重症监护室,3.3天机械通风),对于老年患者,31-40%的BSA烧伤患者,三度烧伤患者和未幸存者来说,住院时间明显更长.
结论:
- 最常见的是男性中年患者,主要是三度,较小区域的烧伤.
- 严重烧伤 (三度) 和没有幸存者需要更长的住院时间,烧伤重症监护室入院和机械通风.
- 识别这些因素有助于预测资源需求,并改善烧伤受害者的结果.
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