강원 지역의 화상발생과 가옥구조와의 상관관계 연구 = Study on Correlation Between Burn Injury and House Structure in Kangwon Province

다국어 초록 (Multilingual Abstract)

Abstract
Many peoples, especially children living in a grouped, crowded housing in a mine field of this country are suffering from terrible burn injury which bring about a disabled and disfigured living through a whole life.
Although many excellent surgeons offer their endless efforts to treat burn injury, the results wouldn't be hotter than that of preventing burn injury.
The authors reviewer and analysed 703 cases of thermal burn patients who have been admitted and treated at Wonju Christian Hospital, Yonsei University College of Medicine from January 1974 to April 1984, and also made a field survey to prove correlation between house structure and epidemiology of burn injury, so as to find out important factors and ultimately to prevent burn injury.
Following results were obtained after analysis and field survey of these patients.
1. The number of patients were increases year after year, and the admitted patients of the year of 1980 were twice of 1974.
2. Males (64.9%) were affected more often than females(35.1%). The moat frequently affected age group was under the age of 10yrs as 54.0%, next was 4th decade, and the older the lower incidence.
3. In regional distribution, Wonju city area was most frequent as 42.8%, and next rest of Kangwon area as 15.0%, Choongbuk area, Sabook area, Sangdong area, Dogye area, Taebak city area came in order.
4. In seasonal occurrence, more frequent in winter and sprint than in summer and autumn, and more frequent in March and April than other mouths of a year.
5. Among the burn occured places, kitchen baa roost frequent as 49.5%, and next room as 23.5%, working places as 15.4%, outdoors as 14.3% came in order.
6. Among the causes of burn injury, scald was moat frequent as 48.5%, and flame as 28.4%, electricity as 7.0%, contact as 4.6% came in order.
7. Among the affected sites of burn injury, multiple Bites were roost frequent as 46.8%, and lower extremity, face, upper extremity, trunk and lower extremity, upper and lower extremity, face and trunk, trunk came in order.
8. In the depth of burn injury, second degree burn was Most frequent as 49.8%, and third degree burn as 48.4%, fourth degree as 1.3%, thirst degree as 0.6% came in order.
9. In treatment and prognosis, conservative treatment was moat popular as 53.5%, and debridement and skin graft as 27.9%, diagnosis only as 16.6%, expire as 8.0% came in order.
10. The average hospital days were 19.5 fays and average dabs from burn injury to death were 11. 9 days.
11. Among the patients who were amputated their digits during the treatment, the most frequent burned placers were working place as 4 cases and next kitchen as 3 cases.
12. Among the expired patients, the moat frequent burned place was kitchen as 30 cases, and next working placers as 11 cabob, room as 10 cases, outdoors as 4 cases came in order.
13. Among the patients who burned at kitchen, the most frequent cause was scald as 76.5%, and next contact as 18.0%, oil stove as 3.7%, boiling oil as 1.9% came in order.
14. The percentages of patients under the age of 10 gears was highest in kitchen burn as 81.4%, and room burn as 50.0%, bathroom burn as 25%, outdoors burn as 17.4% came in order.
15. The percentages of patients under the age of 10 years was highest in Sabook area as 65.6%, and Dogye area as 58.3%, Tieback city area as 56.0% came in order, and was lowerest in Sangdong area as 32.6%.
16. In most of mine fields, the houses have only one room and one door through the kitchen, however in fess burn injuries are Occurring area such as Sangdong area, they have one room with 2 doors, one on the front of the room and the other or the opposite side through the kitchen.
17. We have obtained the conclusion that there is statistically significant correlation between house structure and children's burn incidence.

목차 (Table of Contents)

• Ⅰ. 서론
• Ⅱ. 관찰대상 및 방법
• Ⅲ. 관찰 결과
• 1. 연도별 화상환자수의 변화
• 2. 성별 및 연령분포
• 3. 지역별 분포
• 4. 월별 발생빈도
• 5. 화상 발생 장소
• 6. 화상 원인
• 7. 화상부위 및 깊이
• 8. 치료방법 및 예후
• 9. 수지 및 족지를 절단한 환자와 사망한 환자의 화상발생 장소
• 10. 부엌화상의 원인
• 11. 각 화상발생 장소에 있어서 10세이하의 비율
• 12. 각 지역별 10세이하 환자의 비율
• 13. 각 지역별 광산촌의 가옥구조
• 14. 각 지역별 광산촌의 가옥구조와 10세이하 환자의 비율과의 관계
• Ⅳ. 고찰
• Ⅴ. 결론