Serror K, Chaouat M, Legrand Matthieu M, Depret F, Haddad J, Malca N, Mimoun M, Boccara D
Department of Plastic Reconstructive Surgery, Burn Center, Hôpital Saint Louis, AP-HP 1 Avenue Claude Vellefaux, 75010 Paris, France.
Department of Plastic Reconstructive Surgery, Burn Center, Hôpital Saint Louis, AP-HP 1 Avenue Claude Vellefaux, 75010 Paris, France.
Burns. 2018 May;44(3):544-548. doi: 10.1016/j.burns.2017.09.005. Epub 2017 Oct 19.
Introduction With more than 10 million of daily users, e-cigarettes encountered a great success. But in the past few years, the number of medical reports of injuries caused by the explosion of e-cigarettes has significantly increased. This article aims at reporting our series and reviewing the literature to propose a new classification based on the mechanisms of injuries related to e-cigarettes that can guide non-specialists and specialists in the management of these patients. Method We performed a retrospective review of our institutional burn database from June 2016 to July 2017 for injuries caused by or in the context of using an e-cigarette. The patients' demographics (age, gender), burn injury mechanisms, depth, localization, surface and interventions were described. Results Ten patients suffered from burns related to the use of e-cigarettes. The burns were located at the thigh (80%) and the hand (50%) with a mean surface of 3% of TBSA. Four different mechanisms could be described: Type A: thermal burns with flames due to the phenomenon of "thermal runaway", Type B: blasts lesions secondary to the explosion, Type C: chemical alkali burns caused by spreading of the electrolyte solution and Type D: thermal burns without flames due to overheating. These different mechanisms suggest specific surgical and non-surgical management. Conclusion Management of injuries sustained from e-cigarettes' explosions should be approached from the standpoint of mechanisms. Different mechanisms could be associated and should be considered in specific management.
引言 电子烟拥有超过1000万的日用户量，取得了巨大成功。但在过去几年中，电子烟爆炸导致受伤的医学报告数量显著增加。本文旨在报告我们的系列病例并回顾文献，以基于电子烟相关损伤机制提出一种新的分类方法，从而指导非专科医生和专科医生对这些患者进行管理。方法 我们对2016年6月至2017年7月我院烧伤数据库中由使用电子烟或在使用电子烟的背景下导致的损伤进行了回顾性研究。描述了患者的人口统计学特征（年龄、性别）、烧伤损伤机制、深度、部位、面积及干预措施。结果 10例患者因使用电子烟而烧伤。烧伤部位位于大腿（80%）和手部（50%），平均烧伤面积为总体表面积的3%。可描述出四种不同机制：A型：因“热失控”现象导致有火焰的热烧伤；B型：爆炸继发的爆震伤；C型：电解液溶液扩散导致的化学性碱烧伤；D型：因过热导致无火焰的热烧伤。这些不同机制提示了特定的手术和非手术治疗方法。结论 电子烟爆炸所致损伤的处理应从机制角度入手。不同机制可能同时存在，在具体治疗中应予以考虑。
