Szentgyörgyi Lajos, Leny Andrij, Tamás Eva, Péterffy Arpád
Debreceni Egyetem, Orvos- és Egészségtudományi Centrum, Kardiológiai Intézet, Szívsebészeti Központ, Debrecen.
Magy Seb. 2008;61 Suppl:71-3. doi: 10.1556/MaSeb.61.2008.Suppl.17.
The authors describe two intraoperative fires during cardiac surgery. In both cases, in addition to the usual disinfection and isolation of the operating field, they wanted to reduce the infection hazard and to restore the partly ruined isolation by 70% alcoholic skin antiseptic solution. Soon after the disinfection, but before the evaporation of alcohol, diathermy was used and caused fire. In case of the first patient the fire spread over the isolation film and resulted second grade (5%) and third-grade (1%) burn injury which required plastic surgery. In the second case the patient's beard caught fire causing second-grade (1%) burn that was treated locally. Despite these burn injuries both patients recovered after the heart surgery. These two intraoperative fires are 0.003-0.004% of all surgical procedures.
Fires during surgery are rare and might have serious consequences. They can be prevented by keeping the discipline of work and instructions of fire protection. The best way of prevention is regular education of all the staff (doctors, nurses, etc.) working in the operating theatre.
作者描述了两例心脏手术中的术中火灾。在这两例中，除了对手术区域进行常规消毒和隔离外，他们还希望通过70%酒精皮肤消毒液来降低感染风险并修复部分受损的隔离措施。消毒后不久，但在酒精蒸发前，使用了电刀并引发了火灾。在第一例患者中，火势蔓延到隔离膜上，导致二级（5%）和三级（1%）烧伤，需要进行整形手术。在第二例中，患者的胡须着火，造成二级（1%）烧伤，进行了局部治疗。尽管有这些烧伤，两名患者在心脏手术后均康复。这两例术中火灾占所有外科手术的0.003 - 0.004%。
手术中的火灾很少见，但可能会产生严重后果。遵守工作纪律和防火指示可预防火灾。最佳预防方法是对手术室所有工作人员（医生、护士等）进行定期教育。
