Wallis Belinda A, Turner Jason, Pearn John, Kimble Roy M
Royal Children's Hospital Burns Research Group, University of Queensland, Department of Paediatrics and Child Health, Royal Children's Hospital, Queensland 4029, Australia.
Burns. 2008 Jun;34(4):560-4. doi: 10.1016/j.burns.2007.07.016. Epub 2007 Oct 22.
To determine the numbers of paediatric scald injuries associated with the practice of inhaling warmed vapour or warm-humidification of rooms for treatment of upper respiratory tract infection (URTI).
Cases comprised a 6-year consecutive series of scalds in children 0-14 years attending the Royal Children's Hospital (RCH) in Brisbane, Australia. All scalds were sustained either directly from a container of hot water, or by room humidification.
During 2001-2006, 27 children were treated for scald injury associated with breathing humidified air. Aged from 7 months to 14 years, 44% were under 3 years old and the modal age was 1 year. Injuries included steam burns to the hands from commercial vapour-producing devices in children younger than three, and spills from containers of hot water which resulted in larger scalds to multiple body sites in children aged 5-14. No child received an airway scald from hot vapour. Two children required grafts and four had a prolonged hospital stay. Total body surface area (TBSA) scalded, ranged from 1% to 15% and the majority of burns were deep dermal partial thickness.
The common practice of warm-humidification of inspired air as home treatment of URTI's carries an under-recognised risk of serious scalding. An alternative means of providing humidified air is to sit with your child in a closed bathroom whilst running the shower for a short time. If warm humidification is to be used, increased awareness of the risk by both parents and health professionals may reduce the incidence of this serious burn.
确定因吸入温热蒸汽或对房间进行温湿化以治疗上呼吸道感染（URTI）而导致的小儿烫伤数量。
病例包括澳大利亚布里斯班皇家儿童医院（RCH）连续6年收治的0至14岁儿童烫伤病例。所有烫伤均直接由热水容器造成，或因房间加湿所致。
在2001年至2006年期间，有27名儿童因呼吸加湿空气导致的烫伤接受治疗。年龄从7个月至14岁，44%的儿童年龄在3岁以下，最常见年龄为1岁。损伤包括3岁以下儿童因商业蒸汽发生装置导致手部蒸汽烫伤，以及5至14岁儿童因热水容器溢出导致多个身体部位大面积烫伤。没有儿童因热蒸汽导致气道烫伤。两名儿童需要植皮，四名儿童住院时间延长。烫伤的体表面积（TBSA）范围为1%至15%，大多数烧伤为深部真皮部分厚度烧伤。
作为URTI家庭治疗方法的对吸入空气进行温湿化的常见做法，存在一种未被充分认识的严重烫伤风险。提供加湿空气的另一种方法是与孩子一起坐在封闭的浴室里，同时短时间打开淋浴喷头。如果要使用温湿化方法，家长和卫生专业人员提高对该风险的认识可能会降低这种严重烧伤的发生率。
