Vermaak P V, Deall C E, McArdle C, Burge T
Department of Plastic and Reconstructive Surgery, Frenchay Hospital, Bristol, United Kingdom.
Department of Plastic Surgery, University Hospitals of North Midlands, Stoke-on-Trent, United Kingdom.
Ann Burns Fire Disasters. 2016 Jun 30;29(2):94-97.
Burns caused by exhaust systems in children may be associated with considerable morbidity. Current epidemiological data varies, but no data are available for the UK population. We aim to identify the pattern of exhaust-related burns affecting children who presented to a regional centre for paediatric burn care in the UK. Patients who sustained burns related to exhaust mechanisms between May 2005 and August 2012 were identified via the departmental database. Data collected included patient demographics, burn injury information, management and outcomes. Thirty-nine patients sustained 43 burns from contact with exhaust mechanisms, and the majority were less than 5 years of age. 77% of the patients were male. Burns affected critical areas such as the hands and feet in 26% of cases. Most burns involved a total body surface area of ≤1% and were partial thickness in depth. Thirty-three percent of patients required operative intervention. Time to heal was less than 3 weeks in 69% of cases and 3 patients healed with hypertrophic scarring. The majority of burns were small in size and partial thickness in depth. Most were treated conservatively and healed with low complication rates. More than 1 in 5 injuries involved critical burn areas, highlighting the potential for considerable morbidity. The age profile in our study contrasted with other results worldwide. Our study highlights the need for vigilant supervision of children around motorcycles. We recommend the wearing of protective long trousers when riding motorcycles and the fitting of external shields to motorcycle exhaust pipes.
儿童因排气系统导致的烧伤可能会引发相当高的发病率。目前的流行病学数据各不相同，但英国人群尚无相关数据。我们旨在确定影响到英国一家地区性儿科烧伤护理中心就诊儿童的排气相关烧伤模式。通过部门数据库确定了2005年5月至2012年8月期间因排气机制导致烧伤的患者。收集的数据包括患者人口统计学信息、烧伤损伤信息、治疗及结果。39名患者因接触排气机制而遭受了43处烧伤，大多数患者年龄小于5岁。77%的患者为男性。26%的病例中，烧伤影响到手和脚等关键部位。大多数烧伤涉及的总体表面积≤1%，且为浅度烧伤。33%的患者需要手术干预。69%的病例愈合时间少于3周，3名患者愈合后出现增生性瘢痕。大多数烧伤面积较小且为浅度烧伤。大多数采用保守治疗，并发症发生率较低。超过五分之一的损伤涉及关键烧伤部位，这凸显了相当高的发病可能性。我们研究中的年龄分布与全球其他研究结果不同。我们的研究强调了对儿童在摩托车周围时进行警惕监督的必要性。我们建议骑摩托车时穿着防护长裤，并在摩托车排气管上安装外部防护罩。
