Kassous F N, Mokline A, Messadi A A
Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunisie.
Service de Réanimation des Brulés, Centre de Traumatologie et des Grands Brûlés, Tunis, Tunisie.
Ann Burns Fire Disasters. 2020 Sep 30;33(3):203-208.
Chemical burns are rare but have specific diagnosis and treatment characteristics. We present a retrospective study among the 123 patients treated in the Tunis Burns Unit during the year 2018. They were young (36.4 years), active men (69%). Most (51%) burns were work-related. Only fiftyseven patients had their burn immediately washed, and time to the first specialized examination was 3.7 days. Burned surface was low, frequently involving the hands. The majority of patients (121/123) did not need surgery and the treatment length was 20 days, resulting in aesthetic or functional disability in 46.3% of the cases. It seems that information and prevention measures are lacking, despite the fact they are the best means to reduce the incidence of chemical burns, which have high individual and collective costs. If a chemical burn occurs, it should be copiously washed, and the victim should be urgently examined by a burn specialist.
化学烧伤虽罕见,但有其特定的诊断和治疗特点。我们对2018年在突尼斯烧伤科接受治疗的123例患者进行了一项回顾性研究。他们较为年轻(36.4岁),以男性为主(69%)。多数(51%)烧伤与工作相关。仅57例患者烧伤后立即冲洗,首次专科检查时间为3.7天。烧伤面积较小,常累及手部。大多数患者(121/123)无需手术,治疗时长为20天,46.3%的病例出现美学或功能障碍。尽管信息和预防措施是降低化学烧伤发生率的最佳手段,而化学烧伤会带来高昂的个人和集体成本,但似乎这些措施仍有所欠缺。如果发生化学烧伤,应大量冲洗,受害者应尽快由烧伤专科医生检查。