Tang Hon-Lok, Lau Keith K, Sam Ramin, Ing Todd S
Department of Medicine and Geriatrics, Princess Margaret Hospital, Hong Kong, Hong Kong.
Department of Paediatrics, University of Hong Kong, Hong Kong, Hong Kong.
BMJ Case Rep. 2015 Apr 28;2015:bcr2014206777. doi: 10.1136/bcr-2014-206777.
A patient with three episodes of chest wall abscesses as a result of 6 years of round-the-clock, uninterrupted (except during bathing) application of silicone gel sheets to a chest wall keloid is described. Two of the episodes occurred during hot weather. It is suggested that, in the space beneath the silicone sheet, the higher humidity and temperature, both generated as a result of prolonged sheeting, especially during hot weather, might have caused the keloid and its neighbouring skin to become soggy. This sogginess might have facilitated bacterial invasion. It is suggested that some sheeting-free time during a 24 h period might be indicated so that a keloid and its adjacent skin have the time to recover from their sheeting-induced sogginess. A sheeting-free period might especially be needed in the face of sweat accumulation beneath the silicone sheet.
本文描述了一名患者，因在胸壁瘢痕疙瘩上日夜不间断（洗澡时除外）使用硅胶片6年，导致胸壁出现三次脓肿。其中两次发作发生在炎热天气。研究表明，在硅胶片下方的空间里，由于长时间使用硅胶片，尤其是在炎热天气下，产生的较高湿度和温度可能导致瘢痕疙瘩及其周围皮肤变得潮湿。这种潮湿可能促使细菌入侵。建议在24小时内安排一些不使用硅胶片的时间，以便瘢痕疙瘩及其相邻皮肤有时间从因使用硅胶片而导致的潮湿状态中恢复过来。面对硅胶片下方汗液积聚的情况，尤其需要一段不使用硅胶片的时间。
