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由压缩空气除尘器气体着火导致的氢氟酸灼伤。

Hydrofluoric acid burn resulting from ignition of gas from a compressed air duster.

作者信息

Foster Kevin N, Jones LouAnn, Caruso Daniel M

机构信息

Arizona Burn Center, Phoenix, Arizona 85008, USA.

出版信息

J Burn Care Rehabil. 2003 Jul-Aug;24(4):234-7; discussion 228. doi: 10.1097/01.BCR.0000076057.14582.6A.

DOI:10.1097/01.BCR.0000076057.14582.6A
PMID:14501419
Abstract

A young female suffered burns to her hand after the ignition of gas from a compressed air duster. After debridement and dressing, the patient continued to have pain out of proportion to injury that was refractory to intravenous morphine. The material safety data sheet revealed that the chemical used was 1,1-difluoroethane. High temperatures can cause decompensation to form hydrofluoric acid. Calcium gluconate gel was applied topically to the patient's burns, which caused prompt and complete relief of her pain. A review of different compressed air duster products revealed that the main ingredient in each was a halogenated hydrocarbon. Although not considered flammable, all products have warnings regarding the possibility of ignition under various circumstances. Ignition of the gas in compressed air cleaners not only can cause flame burns, it can also cause chemical damage from exposure to hydrogen and fluoride ions. Prompt recognition and treatment is necessary to prevent severe injury.

摘要

一名年轻女性在压缩空气除尘器中的气体着火后手部烧伤。清创和包扎后,患者仍有与损伤程度不相称的疼痛,静脉注射吗啡治疗无效。材料安全数据表显示,所使用的化学物质是1,1 - 二氟乙烷。高温会导致其分解形成氢氟酸。将葡萄糖酸钙凝胶局部应用于患者的烧伤处,疼痛迅速完全缓解。对不同压缩空气除尘器产品的审查显示,每种产品的主要成分都是卤代烃。虽然不被认为易燃,但所有产品都有关于在各种情况下可能着火的警告。压缩空气清洁器中的气体着火不仅会导致火焰烧伤,还会因接触氢和氟离子而造成化学损伤。迅速识别和治疗对于预防严重损伤是必要的。

相似文献

1
Hydrofluoric acid burn resulting from ignition of gas from a compressed air duster.由压缩空气除尘器气体着火导致的氢氟酸灼伤。
J Burn Care Rehabil. 2003 Jul-Aug;24(4):234-7; discussion 228. doi: 10.1097/01.BCR.0000076057.14582.6A.
2
7 cases of hydrofluoric acid burn in which calcium gluconate was effective for relief of severe pain.7例氢氟酸烧伤患者,葡萄糖酸钙对其严重疼痛缓解有效。
Contact Dermatitis. 2005 Mar;52(3):133-7. doi: 10.1111/j.0105-1873.2005.00521.x.
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Hydrofluoric acid burn in a child from a compressed air duster.一名儿童因压缩空气掸尘器导致氢氟酸烧伤。
J Burn Care Res. 2007 Nov-Dec;28(6):909-12. doi: 10.1097/BCR.0b013e318159a3b6.
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Hydrofluoric acid burns.氢氟酸烧伤
Dermatol Clin. 1988 Jan;6(1):67-74.
5
Comparative effectiveness of topical treatments for hydrofluoric acid burns.氢氟酸烧伤局部治疗的比较效果
J Occup Med. 1985 Oct;27(10):733-9.
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Hydrofluoric acid burns.氢氟酸灼伤
Burns. 2004 Mar;30(2):156-9. doi: 10.1016/j.burns.2003.09.031.
7
[Therapy of hydrofluoric acid burns].
Chirurg. 1986 Feb;57(2):92-6.
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Treatment of digital hydrofluoric acid burns.手指氢氟酸烧伤的治疗。
Zhonghua Yi Xue Za Zhi (Taipei). 2002 Jul;65(7):326-30.
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[The efficacy of biological dressing containing calcium and magnesium on the management of hydrofluoric acid burns].[含钙镁生物敷料对氢氟酸烧伤的治疗效果]
Zhonghua Shao Shang Za Zhi. 2007 Feb;23(1):49-51.
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Sudden death caused by 1,1-difluoroethane inhalation.吸入1,1 - 二氟乙烷导致的猝死。
J Forensic Sci. 2004 May;49(3):627-9.

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1,1-Difluoroethane Detection Time in Blood after Inhalation Abuse Estimated by Monte Carlo PBPK Modeling.通过蒙特卡洛生理药代动力学(PBPK)模型估算吸入滥用后血液中1,1-二氟乙烷的检测时间。
Pharmaceutics. 2020 Oct 20;12(10):997. doi: 10.3390/pharmaceutics12100997.
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A review of hydrofluoric acid burn management.氢氟酸烧伤处理综述
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