Burn injuries caused by ship fire:A 12-year study in Shanghai
The 105 patients admitted to our Bum Institute from 1st January 1996 to 31st 1>ecember2007,whit ship fire”related burns were studied retospectively. The mean age was 30.2士12.6years with a range of 1-58. One hundred and three patients (98.1％) we：e men and 2 (1.9%)women. T”he mean total bum surface uea帅SA) was 46.5%, mos即deep burns. The mostcommon areas of burn were the head, neck and upper limb. Summer months July, August,)uue and September were times of highest incidence. Fifty-seven份」咐patients hadinhalation injury, 42 received tracheotomy, and ”8 received mechanical ventilation. Thetreatment was complex, difficult, long, and cps你The internal between bum and start ofresuscitation ranged from Z.1 to 67 h with a mean of (S，士4.4) h. Forty-two patients (40%)started intravenous fluid resuscitation 6 h after bum. Twenty-four patients (23%) receivedinsufficent fluid resuscitation developed hypotension and severe shock at admission.Ninety-two (87.6%) patients required operations including tracheotomy, debridementand grafting, per patient was 5.2. The mean length of hospital stay was 44.2 days. 2ulmonaryedema w as the most common complication during the early post-burn period (within 7days), and sepss during the later period (>7 days). Nine patien；s died cf MODS or sepsis,giving a mortality rate of 8.57%. Conclusion：Caution and preventive measures are needed farpersons in ships for fire-related bums.
烧伤 肺水肿 多器官功能障碍
国内会议
上海
英文
94-98
2011-05-01（万方平台首次上网日期，不代表论文的发表时间）