Haberal M, Kut A, Basaran O, Tarim A, Türk E, Sakallioglu E, Noyan T, Arslan G
Department of General Surgery, Transplantation and Burns, Baskent University, Faculty of Medicine, Ankara, Turkey.
Minerva Med. 2007 Dec;98(6):653-9.
This retrospective study evaluated the epidemiology of burn injuries, due to paint thinner ignition, in patients treated at the burn units of a university hospital network.
From 1997 to 2005, 28 patients with thermal burns caused by ignition of paint thinner were admitted to our burn units. Age, sex, etiologic factors, extent and localization of burns, length of hospitalization, outcomes compared with other causes of thermal burns, and mortality rates were recorded for each patient.
There were 25 males and 3 females. Mean age of the patients was 27.88+/-14.74 years. Two patients (7.4%) came from rural regions; the majority (92.9%; n=26) lived within city boundaries. The most common etiologic factor was attempting to start a fire in the stove with paint thinner. Mean extent of burns was 48.82+/-27.39% of the total body surface area. When compared with other flame burn causes, the extent of burns was significantly greater in paint-thinner burn patients. Affected body sites, in order of most affected to least affected, were the hands, feet, head and face, neck, and trunk and genital regions. Mean length of hospitalization for survivors was 39.65+/-37.83 days. The overall mortality rate was 39.3%. Sepsis (63.6%), excessive burns with inhalation injury (18.2%), pulmonary embolism (9.1%), and respiratory failure (9.1%) were the causes of the deaths.
Paint thinner ignition may cause excessive burns with high mortality rates. Its common misuse in starting stove fires by persons living in urban areas should be prevented immediately.
本回顾性研究评估了在大学医院网络烧伤科接受治疗的因油漆稀释剂着火导致烧伤患者的流行病学情况。
1997年至2005年期间，28例因油漆稀释剂着火导致热烧伤的患者入住我们的烧伤科。记录每位患者的年龄、性别、病因、烧伤程度和部位、住院时间、与其他热烧伤原因相比的结果以及死亡率。
男性25例，女性3例。患者的平均年龄为27.88±14.74岁。2例患者（7.4%）来自农村地区；大多数患者（92.9%；n = 26）居住在城市范围内。最常见的病因是试图用油漆稀释剂在炉灶中生火。烧伤的平均程度为全身表面积的48.82±27.39%。与其他火焰烧伤原因相比，油漆稀释剂烧伤患者的烧伤程度明显更大。受影响的身体部位，从受影响程度最大到最小依次为手、脚、头和面部、颈部以及躯干和生殖器区域。幸存者的平均住院时间为39.65±37.83天。总死亡率为39.3%。脓毒症（63.6%）、严重烧伤合并吸入性损伤（18.2%）、肺栓塞（9.1%）和呼吸衰竭（9.1%）是死亡原因。
油漆稀释剂着火可能导致严重烧伤和高死亡率。应立即防止城市地区居民在炉灶生火时滥用油漆稀释剂的常见行为。
