Navarro-Monzonis A, Benito-Ruiz J, Baena-Montilla P, Mena-Yago A, de la Cruz-Ferrer L I
Burn Centre, Hospital La Fe, Valencia, Spain.
Burns. 1992 Apr;18(2):159-61. doi: 10.1016/0305-4179(92)90018-p.
Gunpowder misuse is a frequent cause of burn injury in our area. The injuries are mostly minor lesions which may be treated on an outpatient basis, the more serious injuries need surgical treatment. Experience of the management of these burns is reported by reviewing 123 clinical charts of patients admitted between 1983 and 1990. The most frequent victims are teenage males who are involved mainly in accidents in the street. The most serious burns followed work-related accidents, with a fatal outcome in 47 per cent of the patients. The serious burns are usually deep dermal or full skin thickness. A common pattern affects groins, genitalia, hypogastrium and hands, and are produced when fireworks ignite in the pockets of the patient's trousers. The management of these lesions does not differ from burns caused by other agents, although attention should be paid to the presence of associated lesions, chiefly to eyes, ears and hands, due to the shockwave and shrapnel.
在我们地区，火药误用是烧伤的常见原因。这些损伤大多为轻伤，可门诊治疗，伤势较重的则需手术治疗。通过回顾1983年至1990年间收治的123例患者的临床病历，报告了这些烧伤的治疗经验。最常见的受害者是青少年男性，他们主要遭遇街头事故。最严重的烧伤发生在与工作相关的事故之后，47%的患者死亡。严重烧伤通常为深二度或全层皮肤烧伤。一种常见的情况是腹股沟、生殖器、下腹部和手部受伤，是烟花在患者裤子口袋里点燃所致。这些损伤的处理与其他因素导致的烧伤并无不同，不过由于冲击波和弹片的缘故，应注意是否存在相关联的损伤，主要是眼睛、耳朵和手部的损伤。
