Titus M Olivia, Baxter Amy L, Starling Suzanne P
Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Pediatrics. 2003 Feb;111(2):E191-4. doi: 10.1542/peds.111.2.e191.
Scald burns to the feet and lower extremities in children are described in the literature as often resulting from forced immersions. This report illustrates 3 cases of burns whose distribution and historical factors identify them as accidental. The location of these accidental burns is similar to those found in inflicted injury, but the patterns were indicative of flowing water burns, not forced immersions. Burns in these locations may be confused with abuse. Medical providers need to be aware of information that may enable them to distinguish the 2 causes. Effective caregiver education regarding the importance of lowering the temperature of water heaters and discouraging play in household sinks is critical to prevent additional tap water scald burn injuries.
文献中描述儿童足部和下肢的烫伤通常是由强迫浸泡导致的。本报告阐述了3例烧伤病例，其烧伤分布和病史因素表明这些烧伤属于意外。这些意外烧伤的部位与受虐所致烧伤相似，但烧伤模式表明是流水烫伤，而非强迫浸泡。这些部位的烧伤可能会被误诊为虐待。医疗人员需要了解相关信息，以便能够区分这两种原因。对照顾者进行关于降低热水器水温以及不鼓励在家庭水槽玩耍的重要性的有效教育，对于预防更多的自来水烫伤至关重要。
