Rubinfeld R S, Silbert D I, Arentsen J J, Laibson P R
Cornea Service, Wills Eye Hospital, Philadelphia, Pennsylvania.
Am J Ophthalmol. 1992 Oct 15;114(4):420-3. doi: 10.1016/s0002-9394(14)71852-5.
A 30-year-old man sustained exposure of his eyes, face, and neck involving 4% of body surface area to hydrofluoric acid. He was treated with immediate lavage and topical calcium gluconate. Because free fluoride ions from ocular and facial exposures can form complexes with body stores of calcium and magnesium, the patient was transferred to a burn unit for cardiac and electrolyte monitoring. He was also treated with calcium gluconate skin injections, pulmonary nebulizer therapy, and topical antibiotics and corticosteroids. In another case, a 25-year-old man with less severe exposure to hydrofluoric acid was treated as an outpatient with topical antibiotics, corticosteroids, and cycloplegia. If an ophthalmologist is the first to treat a patient with chemical exposure, the history of hydrofluoric acid exposure must be obtained, and the burn team and other medical specialists must be quickly consulted to avoid potentially fatal complications.
一名30岁男性的眼睛、面部和颈部遭受氢氟酸灼伤，灼伤面积占体表面积的4%。他立即接受了冲洗和局部葡萄糖酸钙治疗。由于眼部和面部接触的游离氟离子可与体内储存的钙和镁形成络合物，该患者被转至烧伤科进行心脏和电解质监测。他还接受了葡萄糖酸钙皮肤注射、肺部雾化治疗以及局部抗生素和皮质类固醇治疗。在另一病例中，一名25岁男性氢氟酸接触程度较轻，作为门诊患者接受了局部抗生素、皮质类固醇和睫状肌麻痹治疗。如果眼科医生是首个治疗化学物质暴露患者的医生，必须了解氢氟酸暴露史，并迅速咨询烧伤科团队和其他医学专家，以避免可能致命的并发症。
