Neubrech Florian, Kiefer Jurij, Schmidt Volker J, Bigdeli Amir K, Hernekamp J Frederick, Kremer Thomas, Kneser Ulrich, Radu Christian Andreas
Department of Hand-, Plastic- and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, Plastic- and Hand Surgery - University of Heidelberg, Germany.
Department of Hand-, Plastic- and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, Plastic- and Hand Surgery - University of Heidelberg, Germany.
Burns. 2016 Feb;42(1):209-214. doi: 10.1016/j.burns.2015.10.004. Epub 2015 Oct 27.
Bioethanol-fueled fireplaces are popular interior home decoration accessories. Although their safety is promoted frequently, actual presentations of severe burn injuries in our burn intensive care unit (ICU) have focused the authors on safety problems with these devices. In this article we want to explore the mechanisms for these accidents and state our experiences with this increasingly relevant risk for severe burn injuries.
The computerized medical records of all burn intensive care patients in our burn unit between 2000 and 2014 were studied. Since 2010, 12 patients with bioethanol associated burn injuries were identified. Their data was compared to the values of all patients, except the ones injured by bioethanol fireplaces that presented themselves to our burn ICU between the years 2010 and 2014.
At time of admission the bioethanol patients had a mean ABSI-score of 4.8 (+/- 2.2 standard deviation (SD)). A mean of 17 percent (+/- 9.1 SD) body surface area was burned. Involvement of face and hands was very common. An operative treatment was needed in 8 cases. A median of 20 days of hospitalization (range 3-121) and a median of 4.5 days on the ICU (range 1-64) were necessary. No patient died. In most cases the injuries happened while refilling or while starting the fire, even though safety instructions were followed. In the control group, consisting of 748 patients, the mean ABSI-score was 5.6 (+/- 2.7 SD). A mean of 16.5 percent (+/- 10.1 SD) body surface area was burned. Treatment required a median of 3 days on the burn ICU (range 1-120). Regarding these parameters, the burden of disease was comparable in both groups.
Bioethanol-fueled fireplaces for interior home decoration are a potential source for severe burn accidents even by intended use.
以生物乙醇为燃料的壁炉是流行的室内家居装饰配件。尽管它们的安全性经常得到宣传，但我们烧伤重症监护病房（ICU）中严重烧伤的实际病例让作者关注到这些设备的安全问题。在本文中，我们想探讨这些事故的发生机制，并阐述我们在这种日益严重的严重烧伤风险方面的经验。
研究了我们烧伤科2000年至2014年间所有烧伤重症监护患者的计算机化病历。自2010年以来，共识别出12例与生物乙醇相关的烧伤患者。将他们的数据与2010年至2014年间入住我们烧伤ICU但非因生物乙醇壁炉受伤的所有患者的数据进行比较。
入院时，生物乙醇烧伤患者的平均ABSI评分为4.8（±2.2标准差（SD））。平均烧伤体表面积为17%（±9.1 SD）。面部和手部烧伤很常见。8例患者需要手术治疗。住院时间中位数为20天（范围3 - 121天），在ICU住院时间中位数为4.5天（范围1 - 64天）。无患者死亡。在大多数情况下，即使遵循了安全说明，受伤仍发生在重新加注燃料或点火时。在由748名患者组成的对照组中，平均ABSI评分为5.6（±2.7 SD）。平均烧伤体表面积为16.5%（±10.1 SD）。在烧伤ICU治疗时间中位数为3天（范围1 - 120天）。就这些参数而言，两组的疾病负担相当。
用于室内家居装饰的以生物乙醇为燃料的壁炉即使按预期使用也是严重烧伤事故的潜在来源。
