Indiana University School of Medicine, Indianapolis, IN, USA.
Dermatitis. 2012 Sep-Oct;23(5):231-6. doi: 10.1097/DER.0b013e31826e457a.
Exposure to hydrofluoric acid can cause severe skin damage via both corrosive and chemical means. Dermatologists should be aware of the various clinical presentations and knowledgeable of how to manage such patients. A case of a man with exposure of the hands after use of a consumer product containing hydrofluoric acid is presented. The presentation may vary depending on the concentration and duration of exposure. Patients experiencing exposure are at risk of serious complications, including death, resulting from electrolyte abnormalities. Information regarding the source of exposure will allow the physician to better predict the patient's course. The use of immediate flushing with water and the use of topical calcium gluconate can prevent extensive damage to the area of exposure and potentially fatal complications that may occur. More extensive burns may necessitate more invasive therapies. The treatment and the management and monitoring of such cases will allow for more optimal outcomes.
接触氢氟酸可通过腐蚀性和化学性损伤导致严重的皮肤损伤。皮肤科医生应了解各种临床表现，并掌握此类患者的治疗方法。本文报告了 1 例因使用含氢氟酸的消费品导致双手暴露的病例。临床表现可能因暴露浓度和时间的不同而有所差异。接触氢氟酸的患者可能发生严重并发症，包括电解质异常导致的死亡。暴露源的信息将有助于医生更好地预测患者的病程。立即用水冲洗和使用外用葡萄糖酸钙可以防止暴露区域的广泛损伤和可能发生的潜在致命并发症。更广泛的烧伤可能需要更具侵入性的治疗。对这些病例的治疗和管理及监测可获得更理想的结果。
