Management of acid burns: Experience from Bangladesh
Management of acid burns: Experience from Bangladesh
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DOI：
10.1016/j.burns.2014.08.003
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发表时间：
2015-05-01
期刊：
影响因子：
2.7
通讯作者：
Salek, A. J. M.
中科院分区：
文献类型：
--
作者：
Das, Kishore Kumar;Olga, Loren;Salek, A. J. M.
在孟加拉国，酸烧伤主要是由于故意攻击造成的，尽管在工业、街道和家中也有意外酸烧伤的发生。从2004年7月至2012年12月，共研究了126名酸烧伤患者，其中95名来自袭击，31名来自事故。酸烧伤的诊断是根据病史、体格检查和在某些情况下对病人衣服的化学分析作出的。在达卡医学院医院的烧伤科，我们对酸烧伤的处理采用了一种略有不同的方案，从清水冲洗伤口开始，这有效地减少了烧伤深度和手术治疗的要求。应用水胶体敷料48-72 h有助于评估深度和疗程。早期切除和移植效果良好，但由此产生的酸滴造成的大理石蛋糕样外观的伤口分离的重要皮肤。用手术刀切除和直接缝合伤口通常是一个很好的选择。对患者的随访观察显示，伤口有肥大的趋势。在所有情况下，除非烧伤是高度浅表的，否则都给予压力服装和其他疤痕治疗。(C)2014 Elsevier Ltd和ISBI。All rights reserved.
Acid burn injuries in Bangladesh primarily occur as a result of intentional attacks although there are incidences of accidental acid burns in industry, on the street, and at home. A total of 126 patients with acid burns, 95 from attacks and 31 from accidents, were studied from July 2004 to December 2012. A diagnosis of acid burn was made from history, physical examination and in some cases from chemical analysis of the patients' clothing. Alkali burns were excluded from the study.In the burn unit of Dhaka Medical College Hospital, we applied a slightly different protocol for management of acid burns, beginning with plain water irrigation of the wound, which effectively reduced burn depth and the requirement of surgical treatment. Application of hydrocolloid dressing for 48-72 h helped with the assessment of depth and the course of treatment. Early excision and grafting gives good results but resultant acid trickling creates a marble cake-like appearance of the wound separated by the vital skin. Excision with a scalpel and direct stitching of the wounds are often a good option. Observation of patients on follow-up revealed that wounds showed a tendency for hypertrophy. Application of pressure garments and other scar treatments were given in all cases unless the burn was highly superficial. (C) 2014 Elsevier Ltd and ISBI. All rights reserved.