Benjamin Cheryl, Gittler Michelle, Lee Ray
Medical Education, Schwab Rehabilitation Hospital, Chicago, IL, USA.
J Spinal Cord Med. 2011;34(3):332-4. doi: 10.1179/2045772311Y.0000000005.
OBJECTIVE/BACKGROUND: Heated car seats are a common feature in newer automobiles. They are increasingly being recognized as potential hazards as there have been multiple reports of significant burns to its users. The potential for harm is considerably increased in those with impaired sensation with the possibility of a devastating injury.
Case report and literature review.
A 26-year-old male with a T8 ASIA A paraplegia presented to the outpatient clinic for management of a hip burn. Two weeks prior to his visit he was driving a 2004 Jeep Cherokee for approximately 30 minutes. He was unaware that the driver's side seat warmer was set on high. He denied that his seat belt was in direct contact with the skin of his right hip. He presented to an acute care hospital that evening with a hip burn where he was prescribed silver sulfadiazine cream and instructed to apply it until his scheduled follow-up clinic visit. In clinic, the hip wound was unstageable with approximately 95% eschar. A dressing of bismuth tribromophenate in petrolatum was applied to the wound and he was instructed to change the dressing daily. This was later changed to an antimicrobial alginate dressing. The ulcer eventually healed.
This case illustrates the significant risk of car seat heaters in individuals with spinal cord injuries or neurological impairment who have decreased sensation. Additionally, it highlights an atypical area of potential for burn. Furthermore, it emphasizes the need for a heightened awareness for this unique and dangerous situation.
目的/背景：加热汽车座椅是较新汽车的常见配置。随着多起使用者被严重烧伤的报告出现，它们越来越被视为潜在危险。对于感觉受损的人来说，伤害风险会大幅增加，有可能造成毁灭性损伤。
病例报告及文献综述。
一名26岁的男性，患有T8级亚洲脊髓损伤协会（ASIA）A级截瘫，因髋部烧伤到门诊就诊。就诊前两周，他驾驶一辆2004年款的吉普切诺基大约30分钟。他不知道驾驶员侧的座椅加热装置设为高温档。他否认安全带直接接触其右髋部皮肤。当晚他因髋部烧伤前往一家急症医院，在那里他被开了磺胺嘧啶银乳膏，并被告知在预定的门诊复诊前一直涂抹。在门诊，髋部伤口无法分期，约95%为焦痂。伤口上涂抹了含三溴苯酚铋的凡士林敷料，并指示他每天更换敷料。后来换成了抗菌藻酸盐敷料。溃疡最终愈合。
本病例说明了汽车座椅加热器对脊髓损伤或神经功能受损且感觉减退的个体存在重大风险。此外，它突出了一个不典型的潜在烧伤部位。再者，它强调了对于这种独特且危险的情况需要提高认识。
