Muetterties Corbin, Weiss Eric, Tomlinson-Hansen Sandra, Hughes William
Lewis Katz School of Medicine at Temple University, Philadelphia, PA.
Albert Einstein Healthcare Network, Department of Surgery, Philadelphia, PA.
J Burn Care Res. 2018 Aug 17;39(5):843-845. doi: 10.1097/BCR.0000000000000623.
Reports of iatrogenic cold thermal injuries are rare in the literature. Conductive cooling devices, typically employed for their neuroprotective effects, use conductive hydrogel pads to achieve rapid and precise temperature control approaching the level of water immersion. Despite a number of built-in safeguards, prolonged or improper use of these devices can lead to significant thermal injury. To the best of their knowledge, the authors describe the first report of a significant iatrogenic full-thickness injury caused by the use of a surface cooling system in a patient who had recently suffered a cerebrovascular accident. The patient required transfer to the authors' tertiary burn care facility for excisional debridement and coverage with extensive split-thickness skin grafting to the chest, flank, and thighs. The grafts achieved nearly complete take and the patient was ultimately discharged to a rehabilitation facility with improving neurological condition.
医源性冷热力损伤的报告在文献中较为罕见。传导性冷却设备通常因其神经保护作用而被使用，它使用传导性水凝胶垫来实现接近水浸水平的快速精确温度控制。尽管有许多内置的安全措施，但长时间或不当使用这些设备可能会导致严重的热力损伤。据作者所知，本文描述了首例因使用表面冷却系统导致的医源性全层严重损伤，该患者近期发生了脑血管意外。患者需要转至作者所在的三级烧伤护理机构进行切除清创，并在胸部、侧腹和大腿进行大面积的中厚皮片移植覆盖。移植皮片几乎完全成活，患者最终被转至康复机构，神经状况有所改善。
