Alam Munir, Moynagh M, Lawlor C
St James's Hospital, Dublin 8, Ireland.
J Burns Wounds. 2007 Oct 24;7:e4.
Cement burns account for relatively few admissions to a burn unit; however, these burns deserve separate consideration because of special features of diagnosis and management. Cement burns, even though potentially disabling, have rarely been reported in literature.
A retrospective review was performed of all patients admitted with cement burns injuries to the national burns unit at the St James's Hospital in Dublin, Ireland, over a 10-year period for the years 1996-2005.
A total of 46 patients with cement burns were admitted. The majority of patients were aged 16-74 years (mean age = 32 years). Eighty-seven percent of injuries occurred in an industrial and 13% in a domestic setting. The upper and lower extremities were involved in all the patients, and the mean total body surface area affected was 6.5%. The mean length of hospital stay was 21 days with a range of 1-40 days. Thirty-eight (82%) were surgically managed involving debridement and split-thickness skin graft (SSG) and four (9%) were conservatively managed. A further four did not have data available.
Widespread inexperience in dealing with this group of cement burns patients and delays in referral to burns unit highlights the potential for greater levels of general awareness and knowledge in both prevention and treatment of these burns. As well, early debridement and split-thickness skin grafting at diagnosis constitutes the best means of reducing the high socioeconomic costs and allows for early return to work.
水泥烧伤导致入住烧伤科的病例相对较少；然而，由于其诊断和处理的特殊特点，这类烧伤值得单独考虑。水泥烧伤尽管可能导致残疾，但在文献中鲜有报道。
对1996年至2005年这10年间爱尔兰都柏林圣詹姆斯医院国家烧伤科收治的所有水泥烧伤患者进行回顾性研究。
共收治46例水泥烧伤患者。大多数患者年龄在16 - 74岁之间（平均年龄 = 32岁）。87%的损伤发生在工业环境中，13%发生在家庭环境中。所有患者的上肢和下肢均有损伤，平均烧伤总面积为6.5%。平均住院时间为21天，范围为1 - 40天。38例（82%）接受了手术治疗，包括清创和中厚皮片移植（SSG），4例（9%）接受了保守治疗。另有4例没有可用数据。
在处理这类水泥烧伤患者方面普遍缺乏经验以及转诊至烧伤科的延迟，凸显了在预防和治疗这些烧伤方面提高总体认识和知识水平的潜力。此外，诊断时早期清创和中厚皮片移植是降低高社会经济成本并使患者早日重返工作岗位的最佳方法。
