Department of plastic, reconstructive and aesthetic surgery, burns and wound healing units, CHRU Lapeyronie, 371, avenue du Doyen-Gaston-Giraud, 34090 Montpellier, France.
Department of plastic, reconstructive and aesthetic surgery, burns and wound healing units, CHRU Lapeyronie, 371, avenue du Doyen-Gaston-Giraud, 34090 Montpellier, France.
Ann Chir Plast Esthet. 2020 Feb;65(1):24-30. doi: 10.1016/j.anplas.2019.12.001. Epub 2019 Dec 28.
E-cigarettes have become the main alternative to traditional cigarettes. An increasing number of explosive accidents with e-cigarettes have been described over the past years. Through our experience of sixteen consecutive cases, we wanted to acquire a better understanding of the origins and to specify the principles of management for these particular new burns.
A retrospective study was conducted to review all cases of burns related to e-cigarettes referred to our burn center from April 2014 through May 2019. Several key data were collected in relation to the patients, the circumstances and characteristics of the burns, their treatment and follow-up.
In the past five years, sixteen patients were burned by e-cigarette explosions. They were all males with an average age of 41 years. They all had second or third degree burn injuries. The average burned area was 5% TBSA. The areas that were burned were the hands, buttocks, thorax, thighs and genital areas, and were always related to clothes pocket location. Eight patients described an increase in pain after cooling, suggesting significant contamination of the burn by lithium-ion deposits. Six required surgical management with excision and split-thickness skin graft. The others healed spontaneously in several weeks.
Burns by e-cigarette lithium batteries explosion have a double mechanism (thermal and chemical). Carrying cigarettes in a pocket close to the body is a significant risk factor to which the male population is particularly exposed. Early debridement is recommended when possible while initial cooling does not seem helpful and is sometimes painful.
电子烟已成为传统香烟的主要替代品。在过去的几年中，越来越多的电子烟爆炸事故被描述。通过我们连续 16 例的经验，我们希望更好地了解这些特殊新烧伤的起源和管理原则。
回顾性研究分析了我们烧伤中心 2014 年 4 月至 2019 年 5 月期间收治的所有与电子烟相关的烧伤病例。收集了与患者、烧伤情况和特征、治疗和随访有关的几个关键数据。
在过去的五年中，有 16 名患者因电子烟爆炸而烧伤。他们均为男性，平均年龄为 41 岁。他们均有二度或三度烧伤。平均烧伤面积为 5%TBSA。烧伤部位为手、臀部、胸部、大腿和生殖器区域，且均与衣服口袋位置有关。8 名患者在冷却后描述疼痛加剧，表明锂离子沉积物严重污染了烧伤。6 例需要手术治疗，包括切除和中厚皮片移植。其余患者在数周内自行愈合。
电子烟锂电池爆炸引起的烧伤具有双重机制（热和化学）。将香烟放在靠近身体的口袋中是一个显著的风险因素，男性尤其容易受到这种风险的影响。如果可能，建议早期清创，而初始冷却似乎没有帮助，有时还会引起疼痛。
