Giurgiu Rares-Adrian, Dumitru Catalina-Stefania, Grosu-Bularda Andreea, Bordeanu-Diaconescu Eliza-Maria, Frunza Adrian, Grama Sabina, Hodea Florin-Vlad, Neagu Tiberiu-Paul, Lascar Ioan, Hariga Cristian-Sorin
Department of Plastic Surgery and Reconstructive Microsurgery, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Burn Centre, Emergency Clinical Hospital of Bucharest, Bucharest, Romania.
J Med Life. 2025 May;18(5):440-448. doi: 10.25122/jml-2025-0082.
Chemical burns, though relatively rare, present significant diagnostic and therapeutic challenges due to their complex pathophysiology and the need for specialized care. A retrospective study was conducted, examining the characteristics, treatment, and outcomes of 33 patients with chemical burns admitted to our burn center for 8 years, representing 4.39% of all burn cases. Among them, 15 patients (45.45%) had chemical burns on the face and neck. The majority of these patients were men, with a relatively younger average age, and a significant proportion had work-related accidents. The burned surface area was variable, with many patients sustaining small total body surface area (TBSA), although some presented with extensive involvement. The prevalence of superficial partial-thickness burns was higher, but deep partial-thickness and full-thickness burns were also common. A large proportion of patients had favorable Abbreviated Burn Severity Index (ABSI) scores, indicating a high probability of survival. However, ocular involvement was a major complication. The study emphasizes the importance of timely intervention, including appropriate wound management strategies, specialized dressings, and skin substitutes. The findings also stress the need for a multidisciplinary approach, close monitoring, and adherence to safety protocols to optimize outcomes and minimize long-term complications in patients with chemical burns, particularly those of the face and neck region.
化学烧伤虽然相对少见，但因其复杂的病理生理过程以及对专科护理的需求，在诊断和治疗方面存在重大挑战。我们进行了一项回顾性研究，调查了8年间收治于我院烧伤中心的33例化学烧伤患者的特征、治疗方法及治疗结果，这些患者占所有烧伤病例的4.39%。其中，15例患者（45.45%）面部和颈部有化学烧伤。这些患者中大多数为男性，平均年龄相对较小，且相当一部分患者发生了与工作相关的事故。烧伤表面积各不相同，许多患者的总体表面积（TBSA）较小，不过也有一些患者烧伤范围广泛。浅表部分厚度烧伤的发生率较高，但深部部分厚度烧伤和全层烧伤也很常见。大部分患者的简化烧伤严重程度指数（ABSI）评分良好，表明存活概率较高。然而，眼部受累是主要并发症。该研究强调了及时干预的重要性，包括适当的伤口处理策略、专用敷料和皮肤替代物。研究结果还强调，对于化学烧伤患者，尤其是面部和颈部区域的患者，需要采取多学科方法、密切监测并遵守安全协议，以优化治疗结果并将长期并发症降至最低。
