Department of Surgery, Division of Pediatric Surgery, The Children's Mercy Hospital, Kansas City, Missouri.
Department of Surgery, Division of Pediatric Surgery, University of Florida, Gainesville, Florida.
J Surg Res. 2014 Jul;190(1):210-3. doi: 10.1016/j.jss.2014.03.009. Epub 2014 Mar 13.
Pediatric electrical and chemical burns are rare injuries, and the care of these patients varies significantly. We reviewed our experience in management of electrical and chemical burns to analyze the clinical course, management, and outcomes.
A retrospective review was conducted on children with chemical and electrical burns presenting to two large regional pediatric burn centers over a 10-y period (2002-2012). Clinical data including patient demographics, nature of burns, management, and outcomes were collected and analyzed.
There were 50 cases, 25 chemical and electrical burns each. Overall, the mean±standard deviation age was 6.2±5.6 y, and the mean total body surface area burn was 4.3±3.2%. Chemical burns were larger, had less depth, and shorter length of stay, whereas electrical burns were smaller, deeper, and had a longer length of stay. Two chemical burns and six electrical burns required grafting. Twelve percent of electrical burns required rehabilitation, and 20% required compression garments for hypertrophic scars. Six percent required late surgeries.
Pediatric electric and chemical burns are rare and require specialized care. Graft rates are not high but are mostly noted in electrical burns.
小儿电烧伤和化学烧伤较为少见，对这些患者的处理方式差异较大。我们对小儿电烧伤和化学烧伤的处理经验进行了回顾分析，旨在探讨其临床病程、处理方式和结局。
对两家大型区域性儿童烧伤中心在 10 年间（2002-2012 年）收治的化学烧伤和电烧伤患儿进行回顾性研究。收集并分析患儿的临床资料，包括人口统计学特征、烧伤性质、处理方式和结局。
共纳入 50 例患儿，其中化学烧伤和电烧伤各 25 例。患儿的平均年龄为 6.2±5.6 岁，平均体表面积烧伤为 4.3±3.2%。化学烧伤面积较大、深度较浅、住院时间较短，而电烧伤面积较小、深度较深、住院时间较长。2 例化学烧伤和 6 例电烧伤需要植皮。12%的电烧伤需要康复治疗，20%需要使用压力衣预防增生性瘢痕。6%的患儿需要进行后期手术。
小儿电烧伤和化学烧伤较为少见，需要专科治疗。植皮率不高，但主要见于电烧伤。
