Laitung J K, Earley M
Burns Incl Therm Inj. 1984 Jun;10(5):378-80. doi: 10.1016/s0305-4179(84)80014-5.
Two patients with chromic acid burns are described, one having a 10 per cent body surface area (BSA) burn, the other a 70 per cent BSA burn. Hexavalent chromium, being more mobile physiologically, is more toxic than trivalent chromium. Both, however, are readily absorbed through burned skin, and cause renal failure. For this reason, emergency excision of burned areas has been advocated as first line treatment. However, this is not always feasible as, for instance, when the size of the burn is large, and is of uncertain value when patients are referred late.
本文描述了两名铬酸烧伤患者,一名患者的烧伤面积为体表面积(BSA)的10%,另一名为70%。六价铬在生理上更具流动性,其毒性比三价铬更大。然而,两者都很容易通过烧伤皮肤被吸收,并导致肾衰竭。因此,有人主张将紧急切除烧伤部位作为一线治疗方法。然而,这并不总是可行的,例如,当烧伤面积很大时,而且当患者转诊较晚时,其价值也不确定。