Maghsoudi Hemmat, Gabraely Nasibeh
Department of Surgery, Faculty of Medicine, University of Medical Sciences of Tabriz, Tabriz, Iast Azarbaijan, Iran.
Injury. 2008 Sep;39(9):1042-6. doi: 10.1016/j.injury.2008.03.019. Epub 2008 Jul 24.
To explore the epidemiology, mechanisms, complications, morbidity and mortality associated with chemical burns.
Data from 121 cases of chemical burn treated in our department over a 5-year period were compared. Data were obtained by prospective proforma.
A mean 7.98% of total body surface area was burned. This series had a male:female ratio of 10:1, with a mean age 35.3 years. Young men experiencing work-related accidents were the most frequent victims. The majority of chemical burns occurred away from home (98.3%), particularly in the working environment (78.5%); 111 (91.7%) burns were accidental and 10 (8.3%) constituted criminal assault. Tar was the most frequent agent involved, followed by acid, and the hands were the most frequent site of injury. Most burns were small and of second degree; 10.7% of cases involved serious ocular damage. The mean hospital stay was 10 days, and the mortality rate was 1.7%.
Constant safety education for the public and professional training for workers would reduce the incidence of chemical burns. Prevention strategies must be coordinated on a national level.
探讨化学烧伤的流行病学、机制、并发症、发病率和死亡率。
对本部门5年内治疗的121例化学烧伤病例的数据进行比较。数据通过前瞻性表格获得。
平均烧伤总面积为7.98%。该系列病例男女比例为10:1，平均年龄35.3岁。年轻男性发生与工作相关的事故是最常见的受害者。大多数化学烧伤发生在家庭以外（98.3%），特别是在工作环境中（78.5%）；111例（91.7%）烧伤为意外事故，10例（8.3%）为刑事袭击。焦油是最常见的致伤物，其次是酸，手部是最常见的受伤部位。大多数烧伤面积小且为二度；10.7%的病例涉及严重眼部损伤。平均住院时间为10天，死亡率为1.7%。
对公众进行持续的安全教育和对工人进行专业培训将降低化学烧伤的发生率。预防策略必须在国家层面进行协调。
