AYAKTAN TEDAVÝ EDÝLEN YANIK VAKALARIMIZIN EPÝDEMÝYOLOJÝK DEÐERLENDÝRMESÝ

Hastanemizde ayaktan tedavisi yapýlan 88 hastanýn yanýk bilgi formlarýndan elde edilen epidemiyolojik bilgiler retrospektif olarak deðerlendirildi. Hastalarýn yanýk yüzdesi, %20'nin altýnda olup II yanýklý 86 hastaya lokal tedavi, III yanýklý 2 hastaya ise debridman ve greftleme uygulanarak, iyileþme saðlandý. Hastalarýn %54.3'ü 15 yaþ altýndadýr. Erkek: kadýn oraný 3.9: 1'dir. Hastalarýn çoðu 5 veya daha kalabalýk, sosyoekonomik olarak kötü durumda olan (%52) ailelerdendir. Sýcak su ile yanýk ilk sýradadýr ( %74). Hastalarýn önemli bir kýsmý (%60) ev içinde yanmýþtýr. Soðuk su tatbiki en yaygýn ilk yardým sekli olup hastalarýn %93 'ü ilk 24 saat içinde hastaneye baþvurmuþlardýr. Bu çalýþma, çocuklara ve ailelerine evdeki kazalara karþý alýnmasý gereken önlemler konusunda yaygýn eðitimin önemini bir kez daha göstermektedir.

AN EPIDEMIOLOGIC EVALUATION OF OUTPATIENT BURN CASES

Epidemiologic data obtained from burn records of outpatient burn cases treated in TCDD Ankara Hospital were evaluated retrospectively. Burned surface area was under 20% in all cases. Complete healing was obtained by local treatment in 86 second degree cases and by debridement following grafting in 2 third degree cases. 54.3% of cases were under 15 years old. The ratio of male to female was 3.9: 1. Most of the patients belonged to a low socioeconomic group (57%) and were part of a family with at least 5 members. The majority of cases were hot water burns (74%). 60% of patients were burned at home. The most common form of first aid by the patients were burned in the home. The most common form of first aid by the patients was the application of cold water. 93% of patients were admitted to hospital in the first 24 hours. This study highlights the fact that children and parents must be better informed about the possible ways of preventing burns.