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手部氢氟酸烧伤:一例病例报告及建议的处理方法

Hydrofluoric acid burns of the hands: a case report and suggested management.

作者信息

Edinburg M, Swift R

机构信息

St. Vincent's Hospital, Sydney, NSW, Australia.

出版信息

Aust N Z J Surg. 1989 Jan;59(1):88-91. doi: 10.1111/j.1445-2197.1989.tb01471.x.

DOI:10.1111/j.1445-2197.1989.tb01471.x
PMID:2913998
Abstract

Hydrofluoric acid is a strong inorganic acid. It is used commercially in a number of industrial settings. Injuries sustained from this acid are infrequent and the management of such cases is therefore not well known. Tissue destruction caused by this acid is rapid and severely painful and may result in disfigurement if treatment is not instituted promptly. Methods of management of hydrofluoric acid burns are still controversial and no single type of therapy has yet been determined. The patient was managed according to the guideline in the literature, but, in the presence of severe digital oedema, intra-arterial infusion of gluconate was performed. This resulted in rapid relief of pain and prevention of continuing tissue destruction.

摘要

氢氟酸是一种强无机酸。它在许多工业环境中有商业用途。这种酸造成的伤害并不常见,因此此类病例的处理方法并不广为人知。这种酸引起的组织破坏迅速且剧痛,如果不及时治疗可能会导致毁容。氢氟酸烧伤的处理方法仍存在争议,尚未确定单一的治疗方法。该患者按照文献中的指南进行处理,但在出现严重的手指水肿时,进行了葡萄糖酸的动脉内输注。这迅速缓解了疼痛并防止了组织的持续破坏。

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1
Hydrofluoric acid burns of the hands: a case report and suggested management.手部氢氟酸烧伤:一例病例报告及建议的处理方法
Aust N Z J Surg. 1989 Jan;59(1):88-91. doi: 10.1111/j.1445-2197.1989.tb01471.x.
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Hydrofluoric acid burns of the hand: mechanism of injury and treatment.
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7 cases of hydrofluoric acid burn in which calcium gluconate was effective for relief of severe pain.7例氢氟酸烧伤患者,葡萄糖酸钙对其严重疼痛缓解有效。
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Hydrofluoric acid burns.氢氟酸烧伤。
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[General practice-relevant therapeutic recommendations in hydrofluoric acid burns].
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Intra-arterial calcium gluconate treatment after hydrofluoric acid burn of the hand.手部氢氟酸烧伤后动脉内注射葡萄糖酸钙治疗
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Accidental hydrofluoric acid burns of the hand.手部意外氢氟酸灼伤。
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引用本文的文献

1
[Hydrofluoric acid burns. A rare chemical emergency situation].[氢氟酸灼伤。一种罕见的化学紧急情况]
Anaesthesist. 2005 Feb;54(2):123-6. doi: 10.1007/s00101-004-0733-x.