This is clinical analysis and review of 274 cases of burn patients who were treated at the department of surgery, Pusan Adventist Hospital during 5 years and 7 months from February, 1987 to September, 1992.
@ES The following results were obtained.
@EN 1) Age distribution in burn patients showed that the highest incidence of age group was below 10 years(120 cases, 43.6%).
2) The highest incidence of seasonal distribution was in Spring (32.1%), the least incidence in Fall(15.7%).
3) Most cases of burn was scalding(66.1%) and flame(29.6%).
4) The most frequent period of interval between accident and arrival to hospital was within 24 hours (190 case, 69.5%).
5) The most frequent duration of treatment was within 10 days(139 case, 50.7%).
6) Most of patients(227 cases) were affected lesser than 20% of burn, 33 patients(12%) were in 21~40%extent of burn.
7) In labaratory data: 69 cases(25.2%) showed hemoconcentration(Hct>45%).
8) In burn depth, below superficial second degree was 174 cases(63.5%) and deep second & third degree burn was 100 cases(36.5%).
9) The burn dressing was performed with dry method with furacin gauze or occlusive method.
10) Skin grafting was performed in 59 cases(21.%) and the most frequent period of skin grafting was within 5 weeks (78%) for prompt wound closure.
11) In 37 cases of burn wound culture, the main organisms were pseudomonas aeroginosa 14 (37.8%), staphylococcus aureus 11(29.7%), β-Hemolytic streptococcus 5(13.5%) and others.
12) The complication of burn were wound infection(8.0%), pulmonary complication(4.0%), genitourinary tract infection(2.2%) etc. in order of frequency.
13) The overall mortality rate was 6.6%(18/274) and the most frquent cause of death was sepsis in 8 case(44.4%), followed by pulmonary comp9lication in 6 cases(33.3%), and burn shock in 2 cases911.1%).
14) Pulmonary complication was attributable to mortality of the patients with large burn area and inhalation injury. Early respiratory case should be done to the inhalation injury group.
15) The mortality rate was closely related to the extent of burn, cause of burn and patients age.
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