Tarim Mehmet Akin
From the General Surgery Department, Baskent University Faculty of Medicine, Seyhan, Adana, Turkey.
J Burn Care Res. 2014 May-Jun;35(3):e159-63. doi: 10.1097/BCR.0b013e31829575aa.
Liquefied petroleum gas (LPG) is a fuel that is widely used for domestic, agricultural, and industrial purposes. LPG is also commonly used in restaurants, industries, and cars; however, the home continues to be the main site for accidents. In Turkey, the increased usage of LPG as a cooking or heating fuel has resulted in many burn injuries from LPG mishaps. Between January 2000 and June 2011, 56 LPG-burned patients were compared with 112 flame-burned patients. There were no significant differences with respect to the mean age, sex, hospitalization time, and mortality in both groups. In the LPG-caused burn cases, 41 burns (73.2%) occurred at home, seven (12.5) were work-related mishaps, and eight (14.3) were associated with car accidents. The majority of the LPG burns (82%, 46 patients) resulted from a gas leak, and 18% of them were related to the failure to close LPG tubes in the patients' kitchens (10 patients). Burns to the face and neck (82 vs 67%, P = .039) and upper (62 vs 23%, P = .000) and lower (70 vs 45%, P = .002) extremities were significantly higher in LPG-caused burn cases than flame-burned cases. General awareness regarding the risk of LPG and first aid for burns appears to be lacking. The LPG delivery system should be standardized throughout countries that widely use LPG.
液化石油气(LPG)是一种广泛用于家庭、农业和工业用途的燃料。LPG也常用于餐馆、工业和汽车;然而,家庭仍然是事故的主要发生场所。在土耳其,LPG作为烹饪或取暖燃料使用量的增加导致了许多因LPG事故造成的烧伤。在2000年1月至2011年6月期间,将56名LPG烧伤患者与112名火焰烧伤患者进行了比较。两组在平均年龄、性别、住院时间和死亡率方面没有显著差异。在LPG导致的烧伤病例中,41例烧伤(73.2%)发生在家中,7例(12.5%)是与工作相关的事故,8例(14.3%)与汽车事故有关。大多数LPG烧伤(82%,46例患者)是由气体泄漏引起的,其中18%与患者厨房中LPG管道未关闭有关(10例患者)。LPG导致的烧伤病例中,面部和颈部烧伤(82%对67%,P = 0.039)以及上肢(62%对23%,P = 0.000)和下肢(70%对45%,P = 0.002)烧伤明显高于火焰烧伤病例。似乎缺乏对LPG风险和烧伤急救的普遍认识。在广泛使用LPG的国家,LPG输送系统应实现标准化。