摘要
老年烧伤的死亡率高,本文分析了自1976年8月到1986年7月110例65岁以上的烧伤病人的临床资料。死亡36例。死亡率32.7%。死亡组的TBSA、Ⅲ度面积明显大于生存组。轻中度烧伤72例,死亡10例,占14%;严重烧伤38例,死亡26例,占68%。伤前存在的心肺疾病和合并吸入性损伤与死亡原因的关系密切。肺炎、烧伤休克是老年烧伤的主要死亡原因。液体复苏,深度创面早期切痂植皮、预防和及时治疗各种并发症以及加强全身支持方法,可以提高老年烧伤的治愈率。
Between August 1976 and July 1986,110 burn patients over the age of sixty-five were admited to the Burn Unit of Ruijin Hospital. The average extent of burn was 19.9% TBSA (0.5-90%),with 14.7% full thickness(0.5-90%).There was a significant difference surface and full thickness area(P<0.001)of total burn between non-survival and survival patients. The analysis of causes of death in elderly burn patients suggested that the preexsting cardiopulmonary diseases and inhalation injury appeared particularly important since pneumonia was considered as a primary cause of death in 13 patients, myocardial infarction in 2, congestion heart failure in 2.The resuscitation,early excision of deep burn wound and grafting,prevention and treatment of other complications,and nutritional supplement can decrease the mortality of elderly burn patients.
