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KMID : 0371319680100030135
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Journal of the Korean Surgical Society
1968 Volume.10 No. 3 p.135 ~ p.145
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Clinical and Statistical Observations in 108 Cases of Burned Patients
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丁銓殷/Chung, Chu Nun
金漢中/柳斗烈/金光鎰/Kim, Han Joong/Yoo, Doo Yul/Kim, Kwang Il
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Abstract
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During the past few decades, has been made a considerable progress in the attitude concerning the fluid therapy (including the use of blood), the wound management and the control of sepsis in burn.
Recently, due to the aforementioned advancement the mortality rate has been declined gradually. However overwhelming infection still remains the greatest threat to the survival of the patients sustaining major burn.
At the present time, one of the greatest interests was the local use of chemotherapeutic agents and the use of 0.5% silver nitrate for the burn wound.
These two methods for the control of burn wound infection offer real hope for diminution in mortality.
We have undertaken to analysis our clinical experiece of thermal injury and a review of the literatures.
During the past 4 year period from March, 1963 to March, 1967, 108 cases of burned patients were reated at Surgical Department, Woo Sok University Hospital and summarized as follow:
1) Males were affected more often than females, the incidence being 66 and 42 cases respectively. This difference mainly arise from the adult group.
2) Seasonal distribution; spring 32 cases, summer 21 cases, autumn 19 cases, winter 36 cases. The highest incidence was during January, 14 cases, and the lowest during November, 5 cases.
3) The causes of burn were tabulated as follow: scalding 67 cases, flame 27 cases, chemical 7 cases, electric 4 cases and miscellaneous 3 cases. The predominating cause of burn in the patients under the age of 14 was scalding, while the adult group was affected equally by scalding and flame.
4) Among 108 cases of burned patients, 21 patients were under 10% of burn 62 patients 11~30%, 14 patients 31~50%, 7 patients 51~70% and 4 patients over 71%, The majority cases were 2nd and 3rd degree burns cowbined.
5) The body temperature was elevated paralleling the extent of burn surface area, while fever was generally higher in occlusive dressing group than exposure therapy.
6) Evan´s formula was employed for the fluid therapy. until 1965 and Brooke´s formula since 1966.
7) In most cases who required skin graft, the wounds were ready for grafting within 4 to 5 weeks.
8) The predominating organisms grown from wounds were staphylococci, pseudomondas aeruginosa and hemolytic streptococci in order of decreasing frequency.
9) The over-all mortality in this observations was 15.7%, that is 17 deaths in 108 cases. The motality rates were high in children and older age group.
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