成人和儿童烧伤患者深静脉血栓形成的发生率。2010-2015年国民警卫队医院

Tawfeik Alyafi, Mohamed Alkahtani, Nouf Alturki, Mohammed Ashi
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引用次数: 1

摘要

目的:本回顾性研究旨在估计2010年1月至2016年1月期间沙特阿拉伯一家三级医院烧伤患者深静脉血栓形成(DVT)的发生率。方法:对2010-2015年国民警卫队医院成人和儿童烧伤患者的管理进行回顾性研究。本研究纳入2010 - 2015年168例烧伤病例,其中儿童109例(64.9%),成人59例(35.1%)。6例资料不完整的儿科病例被排除在分析之外。结果:本研究显示,研究期间烧伤患者中,成人占38.3%,儿童占61.7%,男性占66.9%,沙特人占98%。成人(45.7%)和儿童(66%)的烧伤原因以火焰为主,差异有统计学意义(p=0.029)。成人烧伤以下肢为主要部位(50.8%),儿童烧伤以腹部为主要部位(67.7)。儿童DVT(3.1%)和死亡率(1.1%)高于成人,差异无统计学意义。结论:儿童烧伤发生率高于成人,但差异无统计学意义。燃烧的主要原因是火焰。发生深静脉血栓的主要危险因素为体表面积增加、中心静脉导管插入和入住ICU。需要对烧伤患者进行更有意义的评估,以计算深静脉血栓的发生率,并确定其中的相关危险因素。
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The incidence of the deep veins thrombosis among adult and pediatric Saudi patients with burns. National Guard hospital between 2010-2015
Objectives: This retrospective study aimed to estimate the incidence of the deep vein thrombosis (DVT) among patients suffering from burn in a tertiary care hospital at Saudi Arabia during the period from January 2010 to January 2016. Methods: A chart review study was conducted at National Guard hospital in the Management of Adult and Pediatric Patients with Burns, from 2010-2015. The study included 168 burn cases from 2010 to 2015, of which 109 (64.9%) were children and 59 (35.1%) were adults. Six cases from pediatric had incomplete data were excluded from analysis. Results: This study showed that 38.3% of the patients with burns in the study period were adults, 61.7% were children 66.9% were males, and 98% were Saudis. The main cause of burns was the flame in adults (45.7%) and children (66%), with significant difference (p=0.029). Lower limb was the main site of burns among (50.8%) of the adults, while the main site was the abdomen among the children (67.7). DVT (3.1%) and death (1.1%) was higher among children than adults with no significant difference. Conclusions: The rate of the burn was higher among children than adults without significant difference. The main cause for burning was flame. The main risk factors to develop DVT were increased total body surface area, insertion of the central line, and admission to ICU. There is a need for more meaningful evaluation of the patients with burns in order to calculate the incidence of DVT and identify the associated risk factors among them.
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