The Children's Hospital Burns Research Institute and Burns Unit, The Children's Hospital at Westmead, Sydney, NSW 2145, Australia.
Burns. 2011 Mar;37(2):273-6. doi: 10.1016/j.burns.2010.09.008. Epub 2010 Oct 20.
Contact thermal injuries appear the second most frequent cause for burns in children seen at our unit. Burns caused by hot exhaust systems represent an important subgroup, as these injuries carry the potential for considerable morbidity.
A retrospective review of the Burns Unit database was conducted from January 2003 to January 2008. All patients referred to our unit with burns caused by contact with an exhaust system were included. The morbidity associated with each injury was determined by recording the need for surgical intervention, days taken to heal and the number of hospital visits required.
A total of 97 patients were identified, of which 71 were male (M:F; 2.7:1). Age ranged from 5 months to 15 years. The mechanisms involved were contacts with the exhaust systems of motorbikes, including mini-bikes and Pee-Wee bikes (77), cars (14), lawnmowers (5) and quad-bikes (1). The injuries most commonly occurred during the summer holiday months (n=36, 37%). The Total Body Surface Area (TBSA) ranged from 0.5% to 8%, although injuries measuring 1% or less accounted for 60% of the total. More than two-thirds of the injuries were located on the lower extremity, with the calf being the most common site. Surgical intervention was required in 33% of the cases. The average time taken for complete healing was 20 days with an average of 3.5 visits made for each injury.
The rate of surgical intervention and days to healing clearly demonstrate the morbidity associated with these injuries. In addition the time, effort and money spent for their management appear considerable. A concerted effort must be made to raise public awareness regarding these injuries with a focus on educating people on the hazards of the equipment and the use of appropriate protective gear.
在我们科室就诊的儿童烧伤患者中，接触性热力烧伤是第二常见的原因。由热排气系统引起的烧伤是一个重要的亚组，因为这些损伤有可能导致相当大的发病率。
对 2003 年 1 月至 2008 年 1 月烧伤科数据库进行回顾性分析。所有因接触排气系统而导致烧伤的患者均被纳入研究。通过记录手术干预的需要、愈合所需的天数和需要就诊的次数来确定每种损伤的发病率。
共确定了 97 例患者，其中 71 例为男性（M:F；2.7:1）。年龄从 5 个月到 15 岁不等。涉及的机制包括与摩托车排气系统的接触，包括迷你摩托车和 Pee-Wee 自行车（77 例）、汽车（14 例）、割草机（5 例）和四轮摩托车（1 例）。受伤最常见于暑假期间（n=36，37%）。总体表面积（TBSA）从 0.5%到 8%不等，尽管 1%或更少的损伤占总数的 60%。超过三分之二的损伤位于下肢，小腿是最常见的部位。33%的病例需要手术干预。完全愈合平均需要 20 天，平均每个损伤就诊 3.5 次。
手术干预率和愈合天数清楚地表明了这些损伤的发病率。此外，管理这些损伤所需的时间、精力和金钱似乎相当可观。必须共同努力，提高公众对这些损伤的认识，重点是教育人们了解设备的危险和使用适当的防护装备。
