Department of Burns, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, Anhui 230022, PR China.
Burns. 2010 Sep;36(6):861-70. doi: 10.1016/j.burns.2009.11.003. Epub 2010 Jan 13.
The Chinese peasants in the middle of Anhui Province and north of Dabieshan Mountain are accustomed to using industrial alcohol to kindle honeycomb briquettes in their household coal stoves. Pouring alcohol into the stove often results in flame burns when the honeycomb briquettes inside are not completely extinguished. The purpose of this study is to describe the unique cause and clinical characteristics of this type of injury.
A retrospective review was performed in the Anhui Medical University Hospital Burn Center during a 10-year period, from January 1998 to December 2007, on the records of patients, who sustained burns by alcohol-based firing in household coal stoves. A total of 180 patients were identified and divided into two groups: children (<14 years of age) and adults (>14 years of age).
Boys and housewives were at greatest risk for this burn. As many as 115 patients (64%) sustained more than 10% burns, and children had a significantly larger full-thickness burn area than that of adults. The upper limbs of children and the lower limbs of adults were the most common areas to be injured. All patients came from Shucheng and its neighbouring counties, all of which are located in the middle of Anhui Province and to the north of Dabieshan Mountain. Summer months and daytime, especially during 16:00-17:59 h and 8:00-11:59 h, were the times of the highest incidence. A total of 80 patients underwent surgical intervention. The mean lengths of stay in hospital of children and adults patients were 21.38 days and 16.96 days, respectively. Two children died of severe shock, leading to a mortality rate of 1.11%.
Burns caused by alcohol-based fires in household coal stoves is a common thermal injury in the middle of Anhui Province in China with characteristic clinical presentation and calls for preventive educational intervention.
描述这种损伤类型的独特病因和临床特征。
回顾性分析了 1998 年 1 月至 2007 年 12 月期间在安徽医科大学附属医院烧伤中心收治的 180 例因家用煤炉中酒精燃烧导致烧伤的患者。将患者分为儿童（<14 岁）和成人（>14 岁）两组。
男孩和家庭主妇最容易发生这种烧伤。115 例（64%）患者烧伤面积超过 10%，儿童的全层烧伤面积明显大于成人。儿童上肢和成人下肢是最常见的受伤部位。所有患者均来自舒城县及其周边地区，这些地区均位于安徽省中部和大别山以北。夏季和白天，尤其是 16:00-17:59 时和 8:00-11:59 时，是发病率最高的时段。共 80 例患者接受了手术干预。儿童和成人患者的平均住院时间分别为 21.38 天和 16.96 天。两名儿童因严重休克死亡，死亡率为 1.11%。
家用煤炉中酒精燃烧引起的烧伤是中国安徽省中部地区常见的热力烧伤，具有特征性的临床表现，需要进行预防教育干预。
