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KMID : 0377619760300020223
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Korean Jungang Medical Journal
1976 Volume.30 No. 2 p.223 ~ p.234
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A Clinical Nursing Study of Burn Patient
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Abstract
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During the period of 2 years and 8 months from January, 1972 to August, 1975, 103 cases of burn patients were treated at this Surgical Department in Chung lam Medical University Hospital. These 103 cases were reviewed and summarized as follows:
1) The age distribution of burn patient, the 45 cases (43.7%). Under 9 age is the most number and next is the 20 cases (19. 4%) from 20 age till 29 age.
The youngest patient is the four-months male after birth and the oldest patient is 70 age-male.
The occurrence frequency in sex is 57 cases (55.3 °o) in male and 46 cases (44.7% ) in female.
The ratio is 1. 2 : 1.
2) In burn cause, flame burn is the most number 55 cases (53.4%), and next scalding burn is 42 cases (40.8%).
In the burn cause of age in the baby group under 9 age, most of patient is scalding burn and we can find the same distribution of flame burn in the age group under 40 age.
3) in the burn-boundary the most number 20~29% is 21 cases (20.4%), and next
10~19% is 20 cases (19.4%), and the above 80% is 7 cases (6.8%).
4) In the period in hospital of the in-patient, in the period within 10 days 58 cases (56.3 %) is the most number, and I cases (1 %) is beyond 110 days.
Eat the average period is 20 days.
5) According to the laboratory opinion about flame burn patient Hematocrit ratio is 41-45% namely 23 cases (24.7%) is the most number. The ratio above 60% is 4 cases (4.3%).
6) In the complication in burn patient, wound infection is the most number 52 case and the respiratory difficulty is 11 cases (10.7% ), and renal shut down is 5 cases (4. 9%).
7) The mortality rate in burn patient is 17.5%(18/103), and in the age mortality
rate the patient above 60 age is the most number 75%(3/4), and the patient below 39 age is the same result, and in the age group from 40 till 59 age we cannot find the mortality man.
8) In the mortality cause, septicemia is the most number 6 cases (33.3%), and pulmonary complication is 6 cases (33. 3%), and renal shut down is 4 cases (22.2%), and burn shock is 2 cases (11.1%).
9) In the mortality rate in the burn boundary, the mortality rate above 90% is 100%, and the mortality rate in 80-89% is 5 cases (83.3%), and the large mortality rate caused the high mortality rate.
10) In the mortality rate from the burn cause, flame burn is 14.5%(8/55), and scalding burn is 19%(8/42), and the extra rate is 100%.
11) According to the period from burn date till mortality rate the 1 cases (5.6% died within 24 hours, 12 cases died from 2 days till 7 days; and 4 cases died from 8 days it 14 days and most of patient died within 14 days.
12) In the kind of local treatment, occlusive treatment is 76 cases (75.2%), and
exposure treatment is 13 cases(12. 9 %) and compound treatment is 12 cases(11. 9 % ).
13) In the medicine used in exposure treatment, gentamycin is the most number 4 cases (30.7%), and the I cases did not take a medicine but used dry up.
14) In the medicine used in occlusive During the period of 2 years and 8 months from January, 1972 to August, 1975, 103 cases of burn patients were treated at this Surgical Department in Chung Nam Medical University Hospital. These 103 cases were reviewed and summarized as follows:
1) The age distribution of burn patient, the 45 cases (43.7%). Under 9 age is
the most number and next is the 20 cases (19.4%) from 20 age till 29 age.
The youngest patient is the four-months male after birth and the oldest patient is
70 age-male.
The occurrence frequency in sex is 57 cases (55. 3%) in male and 46 cases (44. 7%) in female.
The ratio is 1.2 : 1.
2) In burn cause, flame burn is the most number 55 cases (53.4%), and next scalding burn is 42 cases (40.8%).
In the burn cause of age in the baby group under 9 age, most of patient is scalding burn and we can find the same distribution of flame burn in the age group under 40 age.
3) in the burn-boundary the most number 2029% is 21 cases (20. 4%), and next 10-s,19% is 20 cases (19.4%), and the above SO % is 7 cases (6.8%).
4) In the period in hospital of the In-patient, in the period within 10 days 58 cases (o6.3 fo) is the most number, and 1 cases (1%) is beyond 110 days. But the average period is 20 days.
5) According to the laboratory opinion about flame burn patient Hell atocrit ratio is 4i -5% namely 23 cases (24.7%) is the most number.
The ratio above 60% is 4 cases (4.3%).
6) In the complication in burn patient, wound infection is the most number 52 cases (50%), and the respiratory difficulty is I I cases (10.7%), and renal shut down is 5 cases (4.9%).
7) The mortality rate in burn patient is 17.3 % (18,%103), and in the t g mortal:
ty
rate the patient above 60 age is the most number 75%(3/4), and Um patient below; 39 age is the same result, and in the age group from 4=0 till 39 age we cannot find the mortality man.
8) In the mortality cause, septicemia is the most number 6 cases (33.3%), and pulmonary complication is 6 cases (33. 3%), and renal shut down is 4 cases (22.2%), and burn shock is 2 cases (11.1%).
9) In the mortality rate in the burn boundary, the mortality rate above 90% is 100%, and the mortality rate in 80e-89% is 5 cases (83.3%), and the large mortality rate caused the high mortality rate.
10) in the mortality rate from the burn cause, flame burn is 14.5%(8/55), and scalding burn is 19%(8/42), and the extra rate is 100%.
11) _-_ccording to the period from burn date till mortality rate the 1 cases (5.6%) died within 24 hours, 12 cases died from 2 days till 7 days, and 4 cases died from 8 days till 14 days and most of patient died within 14 days.
12) In the kind of local treatment, occulsive treatment is 76 cases (75.2e), and exposure treatment is 13 cases(12. 9%) and compound treatment is 12 cases (i 1. 9%).
13) In the medicine used in exposure treatment, gentar ycin is the most number 4 cases (30.7%), and the I cases did not take a medicine but used dry up.
14) In the medicine used in occulsive treatment, 0.5% AgNO3 is the most number 29 cases (38.2%), and the medicine used with 0.5% LgYO3 is most of case.
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