A Clinical Analysis of 1255 Children with Burn Injuries / 第三军医大学学报

ABSTRACT

In a twenty-five year period (1958—1983) ,there were 1255 children admited to this institute because of various kinds of burn injuries.The overall death rate was 4.7% (59 cases) .The causes of death were septicemia (30 cases),shock (17),cerebral edema and hernia(4),acute renal failure(4),severe burn wound scepsis(2),and complications resulting ftom severe inhalation injuries(2).The burned children were characterized by the following1. Children made up 26.9% of all the burn patients admitted during the above-mentioned period.2. 64.06% of the children were younger than 5 years of age.3. Most injuries (64.46%) occurred in the hot season (foom May to September).4. 96% of the children were injured indoorly.5. The male to female ratio was 1.51.6. Scalding was the main cause of the barn injuries in those younger than 5 years of age,and it accounted for 81.76% of all the injuries.Since the death rate of burn patients is closely related to the extent of the burned area,a"1-3-5"category method for children burn cases is suggested as follows1. Mild burnsThe affected area is less than 10% TBSA.2. Moderate burnsThe affected area is between 11～30% TBSA.3. Severe burnsThe affected area is between 31～50% TBSA.4. Extreme severe burnsThe affected area is more than 50% TBSA.