Sinha Madhumita, Salness Rebecca, Foster Kevin N, Fenn Robin, Hannasch Christa
Department of Pediatrics, Maricopa Medical Center, Phoenix, Arizona 85008, USA.
J Trauma. 2006 Oct;61(4):975-8. doi: 10.1097/01.ta.0000229810.36074.36.
Foot burns in children often result from contact with heated surfaces due to high ambient temperatures during summer in the southwestern United States. The objective of this study was to describe the unique cause and clinical characteristics of this type of injury.
A retrospective review of medical records of pediatric patients presenting with contact burns of the foot in Arizona Burn Center, which is the third largest burn center in the United States. Participants included children 5 years and under who were treated for pedal burns during a 5-year period between January 2000 and August 2005.
Seventy-four children with contact burns of the foot were treated of which 34 (46%) were from naturally heated surfaces. When compared with those who sustained pedal burns as a result of contact with other hot objects, children with burns from naturally heated surface more commonly had bilateral (82.4%), second degree (82.4%) burns involving primarily the plantar surface (94.1%) of the foot and the injury usually occurred in the peak of the summer. Also, physical abuse was more commonly suspected in this group.
Contact with a hot surface during summer months is a dominant cause of foot burns in small children in the southwestern United States with characteristic clinical presentation and calls for preventive educational interventions.
在美国西南部，夏季环境温度较高，儿童足部烧伤常因接触受热表面所致。本研究的目的是描述此类损伤的独特病因及临床特征。
对美国第三大烧伤中心——亚利桑那烧伤中心收治的足部接触性烧伤儿科患者的病历进行回顾性研究。研究对象包括2000年1月至2005年8月期间接受足部烧伤治疗的5岁及以下儿童。
共治疗了74例足部接触性烧伤儿童，其中34例（46%）是因接触自然受热表面所致。与因接触其他热物体而导致足部烧伤的儿童相比，因接触自然受热表面而烧伤的儿童更常见双侧烧伤（82.4%）、二度烧伤（82.4%），主要累及足底（94.1%），且损伤通常发生在夏季高峰期。此外，该组更常被怀疑存在身体虐待。
在美国西南部，夏季接触热表面是幼儿足部烧伤的主要原因，具有特征性临床表现，需要采取预防性教育干预措施。
