Treitl Daniela, Solomon Rachele, Davare Dafney L, Sanchez Rafael, Kiffin Chauniqua
Division of Acute Care Surgery and Trauma, Memorial Regional Hospital, Hollywood, Florida; Mount Sinai Medical Center, Miami Beach, Florida.
Division of Acute Care Surgery and Trauma, Memorial Regional Hospital, Hollywood, Florida.
J Emerg Med. 2017 Jul;53(1):121-125. doi: 10.1016/j.jemermed.2017.03.031. Epub 2017 May 10.
In recent years, the use of electronic cigarettes (e-cigarettes) has increased worldwide. Most electronic nicotine delivery systems use rechargeable lithium-ion batteries, which are relatively safe, but in rare cases these batteries can spontaneously combust, leading to serious full and partial thickness burn injuries. Explosions from lithium-ion batteries can cause a flash fire and accelerant-related burn injuries.
A retrospective chart review was conducted of 3 patients with lithium-ion battery burns seen at our Level I community-based trauma center. Clinical presentation, management, and outcome are presented. All 3 patients sustained burn injuries (total body surface area range 5-13%) from the spontaneous combustion of lithium-ion batteries used for e-cigarettes. All patients were treated with debridement and local wound care. All fully recovered without sequelae. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Emergency physicians can expect to treat burn cases due to spontaneous lithium-ion battery combustion as e-cigarette use continues to increase. The cases presented here are intended to bring attention to lithium-ion battery-related burns, prepare physicians for the clinical presentation of this burn mechanism, and facilitate patient education to minimize burn risk.
近年来，电子烟在全球范围内的使用有所增加。大多数电子尼古丁输送系统使用可充电锂离子电池，这些电池相对安全，但在极少数情况下，这些电池可能会自燃，导致严重的全层和部分厚度烧伤。锂离子电池爆炸可引发闪燃和与助燃剂相关的烧伤。
对我们一级社区创伤中心收治的3例锂离子电池烧伤患者进行了回顾性病历审查。介绍了临床表现、治疗和结果。所有3例患者均因用于电子烟的锂离子电池自燃而遭受烧伤（全身表面积范围为5%-13%）。所有患者均接受了清创和局部伤口护理。所有患者均完全康复，无后遗症。急诊医生为何应了解此事？：随着电子烟使用的持续增加，急诊医生可能会遇到因锂离子电池自燃导致的烧伤病例。此处呈现的病例旨在引起对锂离子电池相关烧伤的关注，让医生为这种烧伤机制的临床表现做好准备，并促进患者教育以尽量降低烧伤风险。
