Herrmann A, Wohlrab J, Marsch W C
Universitätsklinik für Dermatologie und Venerologie, Martin-Luther-Universität, Halle-Wittenberg.
Unfallchirurg. 2004 Jan;107(1):22-6. doi: 10.1007/s00113-003-0712-8.
Traumata secondary to blank cartridges and fireworks are not harmless at all. They can cause cosmetic disfigurement due to permanent tattooing and scars. Often the face and hands are injured. Fourteen patients with blast injuries were treated between 1992 and 2002 in our clinic. The average age was 20.4 years (range: 13-41 years, median: 17.5 years). Eight patients were aged under 18 years. Most of the victims were males (11 of 14). According to the extent of the powder tattooing we removed the particles under local or general anesthesia within 24 h. We used sterile tooth and hand brushes. After the operation we treated the wounds with local antibiotics. We describe two cases to illustrate our procedure. Early correct treatment of tattooing caused by fireworks or gun powder explosions within 24 h up to a maximum of 72 h prevents the development of permanent cosmetic disfigurement. The technique is simple, effective, and saves the cost of later removal of traumatic tattoos by laser or dermabrasion.
空包弹和烟花造成的创伤并非毫无危害。它们会因永久性纹身和疤痕导致容貌毁损。受伤部位常为面部和手部。1992年至2002年间，我们诊所共治疗了14例爆炸伤患者。平均年龄为20.4岁（范围：13 - 41岁，中位数：17.5岁）。8名患者年龄在18岁以下。大多数受害者为男性（14例中的11例）。根据火药纹身的程度，我们在24小时内于局部或全身麻醉下清除颗粒。我们使用无菌牙刷和手刷。术后我们用局部抗生素治疗伤口。我们描述两个病例以说明我们的治疗过程。在24小时内直至最长72小时对烟花或火药爆炸导致的纹身进行早期正确治疗，可防止永久性容貌毁损的发生。该技术简单、有效，且节省了日后通过激光或磨皮去除创伤性纹身的费用。
