Bhatia Vijay Y, Mishra Susant, Menon Pramod A, Nanavati Nidhish
Department of Plastic Surgery and Burns, Smt. NHL Municipal Medical College, Sheth Vadilal Sarabhai Hospital, Ahmedabad, Gujarat, India.
Indian J Plast Surg. 2013 Jan;46(1):130-3. doi: 10.4103/0970-0358.113732.
Domestic burns in neonate are rare in literature. Neonates are high risk for burns because of their thin and fragile skin, fluid overload or dehydration as the fluid balance range is small and immature immune system leading to septicaemia. Neonates are not small adults, owing to their different physiological response makes the management of neonates challenging as the clinical signs are different from the adults and the resuscitation protocols or end points are also different. We present a case of 11 days old neonate, who sustained 51% scald burns when the hot water bag being used by her mother accidentally burst, the youngest reported case of domestic scald burns with such high percentage. The baby was managed by fluid resuscitation, antibiotics, dressings, ventilatory support for septicaemia and subsequently homograft application. The neonate was discharged with completely healed areas after 35 days of burns and is on regular follow up and no complications have been observed.
新生儿家庭烧伤在文献中较为罕见。由于新生儿皮肤薄且脆弱、液体平衡范围小易出现液体超负荷或脱水，以及免疫系统不成熟易导致败血症，所以他们烧伤风险很高。新生儿并非小成年人，因其不同的生理反应使得新生儿的治疗具有挑战性，因为其临床症状与成年人不同，复苏方案或终点也不同。我们报告一例11天大的新生儿病例，其母亲使用的热水袋意外破裂，导致该新生儿51%体表面积被烫伤，这是有报道的最年幼且烫伤面积如此之大的家庭烫伤病例。该婴儿接受了液体复苏、抗生素治疗、伤口敷料处理、针对败血症的通气支持，随后进行了同种异体移植。烧伤35天后，该新生儿出院，烧伤部位完全愈合，目前正在定期随访，未观察到并发症。
