Brosset S, Vantomme M, Viard R, Aimard R, Mertens A, Comparin J P, Voulliaume D
Centre de Traitement des Brûlés Pierre Colson, Hôpital Édouard Herriot, Hospices Civils de Lyon, France.
Centre de Traitement des Brûlés, Centre Hospitalier Saint Joseph Saint Luc, Lyon, France.
Ann Burns Fire Disasters. 2018 Sep 30;31(3):178-180.
A retrospective study was conducted to assess the interactions between epileptic seizure and burn. The study was conducted on all patients treated at the Saint Luc Saint Joseph Hospital Burn Unit from 2000 to 2015 with a diagnosis of epilepsy. Forty-eight cases associating burns and epilepsy were reviewed. Twenty-eight patients had a burn following an epileptic seizure. The average age was 43, and the burned area was 9%. Injuries resulted from contact with hot surface (32%), scald burn (50% - 32% with cooking water and 17.8% by accidental exposure to hot tap water (shower)). Burns by flames were rare (4 cases/28: 14.3%). The burns were deep, and all required surgical treatment by excision - split thickness skin graft. All the cases of tap water burns occurred before 2010 and the changes to hot tap water temperature legislation. Three patients presented a new epileptic seizure during their hospitalization. Primary prevention of domestic accidents, particularly regulation of hot tap water temperature, appears effective. Educating epileptic patients on the importance of therapeutic compliance and the elimination of risky activities during periods of therapeutic modification should further reduce the incidence of seizure-related burns.
开展了一项回顾性研究，以评估癫痫发作与烧伤之间的相互作用。该研究针对2000年至2015年在圣卢克圣约瑟夫医院烧伤科接受治疗且诊断为癫痫的所有患者进行。回顾了48例烧伤与癫痫相关的病例。28例患者在癫痫发作后发生烧伤。平均年龄为43岁，烧伤面积为9%。受伤原因包括接触热表面（32%）、烫伤（50% - 32%为被烹饪水烫伤，17.8%为意外接触热水龙头（淋浴））。火焰烧伤很少见（4例/28例：14.3%）。烧伤程度较深，均需要通过切除 - 中厚皮片移植进行手术治疗。所有热水龙头烫伤病例均发生在2010年之前以及热水龙头温度立法变更之前。3例患者在住院期间出现了新的癫痫发作。家庭事故的一级预防，特别是对热水龙头温度的监管，似乎是有效的。对癫痫患者进行治疗依从性重要性的教育以及在治疗调整期间消除危险活动，应能进一步降低与癫痫发作相关的烧伤发生率。
