McKee Daniel, Thoma Achilleas, Bailey Kristy, Fish Joel
Division of Plastic and Reconstructive Surgery, Department of Surgery, McMaster University, Hamilton;
Department of Dermatology, University of Toronto, The Hospital for Sick Children, University of Toronto, Toronto, Ontario.
Plast Surg (Oakv). 2014 Summer;22(2):95-8.
Hydrofluoric acid (HF) causes a unique chemical burn. Much of the current treatment knowledge of HF burns is derived from case reports, small case series, animal studies and anecdotal evidence. The management can be challenging because clinical presentation and severity of these burns vary widely. Plastic surgeons managing burn patients must have a basic understanding of the pathophysiology, the range of severity in presentation and the current treatment options available for HF burns. The present article reviews the current understanding of the pathophysiology and systemic effects associated with severe HF burns. Furthermore, it distinguishes between minor and life-threatening HF burns and describes several of the basic techniques that are available to treat patients with HF burns.
氢氟酸(HF)会造成一种独特的化学灼伤。目前关于氢氟酸灼伤的治疗知识大多来自病例报告、小型病例系列研究、动物研究和轶事证据。由于这些灼伤的临床表现和严重程度差异很大,其处理可能具有挑战性。治疗烧伤患者的整形外科医生必须对氢氟酸灼伤的病理生理学、表现的严重程度范围以及当前可用的治疗选择有基本的了解。本文综述了目前对严重氢氟酸灼伤相关病理生理学和全身影响的认识。此外,还区分了轻度和危及生命的氢氟酸灼伤,并描述了几种可用于治疗氢氟酸灼伤患者的基本技术。