This is clinical analysis and review of 228 cases of burn patients which treated at this department of Chungnam National University Hospital during 5 years 6 months from Janu-ary 1979 to June, 1984.
1) The age distribution showed that highest incidence of age group was below 10 years old(149 cases, 61.8%). Male (132 cases) was affected more frequently than female(96 cases) with ratio 1.4 : 1.
2) The highest incidence of seasonal distribution was in winter(39. 5%), the least incidence in fall(14.0% ).
3) Most cases of burn were scalding(64.3%), and flame(32.9%)
4) The most frequent period of interval between accident and arrival to hospital was
within 24 hours(156 cases, 68.5%). The most frequent duration was within 30 days(72.5%). 5) In laboratory data: 106 cases(67.9%) showed hemoconcentration.
6) Predominant group in extent of burn was 11~20%(63 cases), and then 21~30%(43 cases), 31-40%(33 cases).
7) All patients was above 2nd degree burn, and deep 2nd & 3rd degree burn were 151 cases(66.2%), which required skin graft.
8) 189 cases(82.9%) required fluid rescucitation, and especially 159 cases(69.7%) were rescucitated by Parkland formula.
9) The complications of burn were wound infection(25.4%), pneumonia (3. 9%), renal shot down(2.9%), genitourinary infection (1. 8%), gastrointestinal bleeding(0.4%) and pulmonary edema(0.4%).
10) In 58 cases of the infected burn wound culture, Pseudomonas aeruginosa 34 cases(55.6 %), Staphylococcus organisms 11 cases (18.9%), E. coli 8 cases(13.8%), Acinetobacter calco-aceticus 3 cases(5.2%) were cultured.
11) The result of the antibiotic sensitivity test to each microorganism: sensitive to Pseudomonas: Amikacin & Tobramycin sensitive to Staphylococcus: Gentamicin, Ampicillin, Tobramycin, and Kanamycin sensitive to E. coli: Gentamicin, Amikacin, and Tobramycin sensitive to Acinetobacter calcoaceticus: no.
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