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      火傷患者의 疫學的 觀察 = An epidemiological Observations in 900 Burn Patients Admitted

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      https://www.riss.kr/link?id=A19657956

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      국문 초록 (Abstract)

      1970年 1月 1日부터 1976年 12月 日까지 滿 7年間 大邱東山基督病院 一般外科에서 入院治療한 火傷患者 900名의 臨床記錄을 資料로 疫學的 側面에서 分析한 成績을 要約하면 다음과 같다. 火傷...

      1970年 1月 1日부터 1976年 12月 日까지 滿 7年間 大邱東山基督病院 一般外科에서 入院治療한 火傷患者 900名의 臨床記錄을 資料로 疫學的 側面에서 分析한 成績을 要約하면 다음과 같다.
      火傷患者의 年令分包는 小兒患者가 62%였고 特히 1∼4才群이 36%로서 年令別 發生頻度의 差異가 뚜렷했고 男子가 女子에 비해 1.4倍 많았으나 性別年令別 差異는 認定할 수 없었다.
      月別 發生頻度의 差異는 거의 없었으나 季節別로는 봄, 가을, 여름, 겨울의 순으로 차이를 나타내고 있었으며 하루중 時間別 發生頻度는 오후 6∼8時가 第一 높고 正午에서 午後 2時, 午前9∼11時 및 오후 3∼5時의 순으로 차이가 있었고 季節別 時間別 차이는 없었다.
      火傷發生場所는 家庭內 火傷이 72%이고 家庭外火傷이 28%였고 農村보다 都市가 家庭內火傷이 많았다.
      火傷原因은 熱湯傷이 58%, 火焰傷이 34%였고 都市는 熱湯傷이 많았고 農村에서는 火焰傷이 많았으며 季節別로는 熱湯傷은 봄에 많았고 火焰傷은 가을에 많았고 年令別로는 小兒에서는 熱湯傷이 많고 成人에서는 火焰傷이 많았다.
      火傷의 深度는 電氣火傷과 火焰傷에서 深部火傷이 많아 火傷原因과 深度는 차이가 있었고 火傷範圍와 原因 및 火傷範圍와 深度間에도 차이가 있었다.
      火傷部位는 全身 및 四肢火傷이 많았고 原因別 部位間에 차이가 있었다.
      合倂症을 同伴한 例는 全體的으로 52%였고 創傷感染이 22%로 第一 많았고 火傷範圍와 合倂症은 比例했다.
      火傷創面으로부터 細菌培養을 實施한 例에서 菌陽性이 65%였고 Pseudomonas가 第一 많았고 Sta-phylococcus 와 Enterobacter의 순이었고 潛血檢査陽性이 50%로 火傷範圍와 潛血陽性이 比例했다.
      火傷患者의 致命率은 全體的으로 11%였고 火傷範圍와 年令에 比例했고 火傷原因別로는 火焰傷이17%로 第一 높았다.

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      다국어 초록 (Multilingual Abstract)

      The followings are a summary of the epidemiological analysis of the clinical records in 900 burn patients admitted at the Department of General Surgery, Presbyterian Medical Center, Taegu, Korea for seven years from January, 1970 till December, 1976. ...

      The followings are a summary of the epidemiological analysis of the clinical records in 900 burn patients admitted at the Department of General Surgery, Presbyterian Medical Center, Taegu, Korea for seven years from January, 1970 till December, 1976.
      Age distribution in burn patients showed that a total of 62 percent in all burns admitted were pediatric patients. The highest incidence in burns that was 36 percent of all patients, was found in the preschool age group (ages from one to four). Male patients were 1.4 times a many as female. However, when age and sex were considered together, no significant difference could be recognized.
      No monthly difference in the burn incidence was observed. However, seasonal differences could be recognized. In the order of decreasing incidence of burn, we found spring most frequently followed by fall, summer and winter. To the question of what time of a day sees most frequent burn accidents, the analysis showed most frequent incidence between 6 p. m. and 8 p. m., followed by between noon and 2 p. m. and between 3 p. m. and 5 p. m. in the decreasing order. When seasons and daily hours considered together, no significant difference was found.
      As for location in burn accidents, 72 percent of all the recorded burns took place at home, while the rest (28%) happened outside of home. There were more home accidents in the urban area than in the rural area.
      An analaysis of the causes in burn accidents showed that scalding burns are 58 percent in all burns and flame burns were 34 percent. Urban residents suffered from more scalding burns, while rural residents faced more flame bur accidents. In spring there were more scalding burns and in fall more flame burns. Most of pediatric burns were caused by scalding burn while adult burns suffered from flame burn.
      As for depth of burn injuries, flame and electric burn resulted in more full thickness burn. This means the causes of burn were closely related to the depth of injuries. Also a close relationship was found between the extents and the causes of burn, and between the extents and the depth of injuries.
      Upper and lower extemities were the most vulerable area attacked by burn injuries. Causes of burn injuries made differences in the location of burn.
      Fifty-two percent in all burns analyzed were accompained by some complications. The main complications were wound infection (22.2%), scar contraction (9.4%), airway obstruction (4.1%), septicemia (3.8%), curling's ulcer (3.2%) and renal failure (2.1%) in order. The larger the extent of burn injuries there were, the more complications we found.
      Detection of pathogenic organisms by culture taken from the burn wounds in 587 cases, positive rate was 65 percent. Out of these cultured organisms, we found Pseudomonas aeroginosa most, followed by Staphylococcus aureus, Enterobacter aerogene and E. coli in order.
      Positive reaction to occult blood test from the burn patients of 443 cases was 50 percent, showing extent of burn was in proportion to positive reaction to occult blood test.
      The case fatality rate due to burn injuries was 11 percent. The case fatality rate was closely related to the extent of burn and patient's age. Especially the flame burn patients showed the highest case fatality rate (17%).

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