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自杀未遂时木炭所致的接触性烧伤

Contact burn by charcoal in an attempted suicide.

作者信息

Ying S Y, Ho W S

机构信息

Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.

出版信息

Burns. 2001 Aug;27(5):512-4. doi: 10.1016/s0305-4179(00)00158-3.

DOI:10.1016/s0305-4179(00)00158-3
PMID:11451609
Abstract

A 23-yr-old lady was inadvertently burned during an attempted suicide. After quarrelling with her boyfriend, she attempted to commit suicide by using alcohol, benzodiazepine and burning charcoal within her sealed bedroom. Her left leg fell over the edge of the bed while she was half-conscious, that resulted in direct contact with the hot pot causing 1% full thickness burn and burn of her left tibialis anterior and extensor digitorum longus. She was initially resuscitated with 100% oxygen and gastric lavage and subsequently was managed in the Burns Unit for wound care, surgical debridement of the burn wound and skin graft, and psychological support. Burning charcoal in a sealed room is an emerging form of suicide in Hong Kong and this is the first case complicated by a burn wound in our locality. A holistic approach to tackle the bio-psycho-social aspects of individual's problem is advocated.

摘要

一名23岁女性在自杀未遂过程中不慎被烧伤。与男友争吵后,她在封闭的卧室里试图通过饮用酒精、服用苯二氮䓬类药物并燃烧木炭自杀。她半昏迷时左腿从床边滑落,直接接触到火锅,导致1%的全层烧伤,左胫骨前肌和趾长伸肌也被烧伤。她最初接受了100%氧气复苏和洗胃治疗,随后在烧伤科接受伤口护理、烧伤创面手术清创和皮肤移植以及心理支持。在封闭房间里燃烧木炭是香港一种新出现的自杀方式,这是我们当地首例并发烧伤创面的病例。提倡采用整体方法来解决个人问题的生物 - 心理 - 社会方面。

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