Burd Andrew, Ahmed Kawser, Noronha Frederick V, Chan Jimmy Y W, Pang Peter C W
Division of Plastic & Reconstructive Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
J Burn Care Res. 2006 May-Jun;27(3):330-2. doi: 10.1097/01.BCR.0000216460.19448.94.
Burning charcoal in an enclosed space is now the second most-common method of committing suicide in Hong Kong. When the suicide is unsuccessful, the patients can still sustain extensive tissue destruction from both direct and indirect thermal burns. We report a series of three patients who sustained deep injuries that, after débridement, left exposed bones and joints needing acute coverage. Free tissue transfer was required in each case to close the wounds. This short series illustrates the extensive destruction that can occur from both contact burns and radiant heat injury and the reconstructive challenges that can result. Of particular note was that serial débridment was necessary in the radiant heat injury because of the evolving and more extensive nature of the wound.
在封闭空间内烧炭现已成为香港第二常见的自杀方式。当自杀未遂时，患者仍会因直接和间接热烧伤而遭受大面积组织破坏。我们报告了一系列3例患者，他们均受到深度损伤，清创后骨骼和关节外露，需要紧急覆盖创面。每例患者均需进行游离组织移植来闭合伤口。这个简短的系列病例说明了接触性烧伤和辐射热损伤可能造成的广泛破坏以及由此带来的重建挑战。特别值得注意的是，由于辐射热损伤伤口具有不断发展且范围更广的特点，因此需要进行多次清创。
