Hull D, Grindlinger G A, Hirsch E F, Petrone S, Burke J
J Trauma. 1985 Apr;25(4):303-8. doi: 10.1097/00005373-198504000-00004.
The factors relating to the clinical outcome of an industrial aerosol plant explosion are reviewed. Eighteen of 24 workers inside the plant required hospitalization and five died. Proximity to the blast was associated with extensive injuries unless workers were shielded by physical barriers or partitions. Burn severity and mortality were increased in those wearing synthetic garments compared to their counterparts wearing fiber clothing. Facial burns occurred in all unprotected workers. Forearm and hand burns in 11 patients required decompressive escharotomies. Topical treatment with silver sulfadiazine was associated with more significant leukopenia and neutropenia than treatment with silver nitrate. We conclude that industrial design should include safeguards which isolate workers from flammable materials, including isolation of explosive materials from working areas, alarm systems to detect leakage of flammable agents, protective barriers and shields, and the regulation and institution of flame and flash-resistant clothing.
对与一家工业气雾剂厂爆炸临床结果相关的因素进行了综述。该厂内24名工人中有18人需要住院治疗，5人死亡。除非工人受到物理屏障或隔板的保护，否则靠近爆炸点会导致严重受伤。与穿着纤维服装的工人相比，穿着合成服装的工人烧伤严重程度和死亡率更高。所有未受保护的工人都有面部烧伤。11名患者的前臂和手部烧伤需要进行减压焦痂切开术。与硝酸银治疗相比，磺胺嘧啶银局部治疗导致的白细胞减少和中性粒细胞减少更为显著。我们得出结论，工业设计应包括安全防护措施，将工人与易燃材料隔离开来，包括将爆炸材料与工作区域隔离、检测易燃剂泄漏的警报系统、防护屏障和盾牌，以及规定和配备阻燃和防闪服装。
