Pruitt Valerie M
General/Trauma Surgery, Surgical Critical Care, Keesler USAF Medical Center, 81st MSGS/SGCQ, 301 Fisher Street, Room 1A132, Keesler Air Force Base, MS 39534-2519, USA.
Clin Occup Environ Med. 2006;5(2):423-33, ix-x. doi: 10.1016/j.coem.2005.11.002.
Work-related upper extremity burns often occur. The cause directs the course of action. Thermal burns should be assessed for system alterations, and depth of burn should be determined. Deep partial-thickness burns and more severe burns require a specialist evaluation. Chemical burns must be irrigated and the agent identified. Some chemical burns, such as those that involve phenols and metal fragments, require specific topical applications before water lavage. Hydrofluoric acid burns can cause life-threatening electrolyte abnormalities with a small, highly concentrated acid burn. The goal with any extremity burn is to provide the patient with a multidisciplinary team approach to achieve a functional, usable extremity.
工作相关的上肢烧伤经常发生。病因决定行动方案。对于热烧伤，应评估全身状况，并确定烧伤深度。深二度烧伤及更严重的烧伤需要专科评估。化学烧伤必须进行冲洗并确定致伤物。一些化学烧伤，如涉及酚类和金属碎片的烧伤，在水洗前需要特殊的局部处理。氢氟酸烧伤即使是小面积、高浓度的酸烧伤也可能导致危及生命的电解质异常。对于任何肢体烧伤，目标都是为患者提供多学科团队治疗方法，以实现功能正常、可使用的肢体。
