镇江地区五年来职业烧伤回顾性调查

对镇江地区１９８６～１９９１年２２１例职业烧伤病例进行了分析总结。本组平均年龄３１．２岁，男性占８３．４％，７９．６％的病人在伤后２４ｈ内入院。首位致伤原因为火焰（３３％）。平均烧伤面积１７．１％，平均Ⅲ度面积８．１％。８．１％的病人并发吸入性损伤。本组死亡率为１．８％。平均住院时间３４．３天，平均住院费用３千余元。文章强调对职业烧伤的现场急救和正确的早期处理，讨论了降低职业烧伤发病率的初步设想，旨在为劳保部门和其它地区职业烧伤研究提供参考。

A 5-year retrospective investigation of occupation-related burns in Zhenjiang area

During the 5 years from June 1986 to June 1991,22l patients were admitted to our department of burn surgery because of occupation-related burns. The average age was 31.2 years,and 83.4 per cent was male.Most of the patients(79.6 per cent)were referred to our hospital within 24 h of their injury.The most common etiology was flame(33.0 per cent).The mean body surface area of all 221 cases was 17.1 per cent,with a mean full-thickness component of 8.1 per cent.Complications:inhalation injury 18 cases(8.1 per cent);sepsis 5 cases (2.3 per cent)confirmed by positive blood cultures at an average time of 10.2 days postburn,and the commonest organism was pseudomonas aeruginosa;pneumonia 5 cases (2.3 per cent).The mortality of these 221 cases was 1.8 per cent.The average time of stay in our hospital was 34.3 days.The total expenditure was about 740000 Yuan.First aid on the spot and early correct treatment are stressed.It is essential to put prevention first,and the measures to lower the incidence of occupation-related burns were discussed to serve as a reference for labor protection department and occupation-related burns institute.