Eyth Christian P, Echlin Kezia, Jones Isabel
Universitäts-Hals-Nasen- Ohren-Klinik, Universität Duisburg- Essen, Essen, Germany.
Burns Unit, Chelsea and Westminster Hospital, London, UK.
Wounds. 2016 Dec;28(12):E53-E59.
The authors present 2 cases of cyanoacrylate glue ("Super Glue") burns, with a review of the literature and a discussion on the mechanism of action. The authors found all reported cases were with domestic - not medical-grade - cyanoacrylate glue in the presence of cotton fabric. Often erroneously designated as chemical burns, they are thermal burns caused by an intensive exothermic reaction. Cotton acts as a highly potent catalyst, speeding up the polymerization reaction leading to high-peak temperatures capable of causing burns and spontaneous ignition of the fabric. The authors identify factors that explain the different risk profiles of domestic and medical cyanoacrylate glues and could be addressed to improve safety with nonmedical applications.
作者介绍了2例氰基丙烯酸酯胶水（“强力胶”）烧伤病例，并对文献进行了综述，讨论了其作用机制。作者发现，所有报告的病例均涉及家用而非医用级氰基丙烯酸酯胶水，且接触了棉织物。这些烧伤常被错误地认定为化学烧伤，实际上是由强烈的放热反应导致的热烧伤。棉织物起到了高效催化剂的作用，加速了聚合反应，导致产生能够引起烧伤并使织物自燃的高温。作者确定了解释家用和医用氰基丙烯酸酯胶水不同风险特征的因素，并指出可通过这些因素来提高非医疗用途的安全性。
