Schoen N S, Gottlieb L J, Zachary L S
Department of Surgery, University of Chicago Medical Center, USA.
J Foot Ankle Surg. 1996 May-Jun;35(3):194-8. doi: 10.1016/s1067-2516(96)80096-2.
The source and depth relationships of both isolated burns to the feet and pedal burns as part of multifocal thermal trauma are evaluated. Five years of cases at the University of Chicago Burn Center were selected at random and retrospectively reviewed. There were 33 isolated burns of the foot, with a source distribution of 70% scald, 9% grease, 9% hot solid, 6% flame, and 6% other. In patients with multifocal burns that included that foot, there were 89 cases, with a source distribution of 42% scald burns, 5% grease, 2% hot solid, 39% flame, 5% electrical, 1% frostbite, and 6% other. Source versus depth and grafting needs are presented. Admission to hospital which was delayed from the date of burn showed an increased need for grafting and a longer hospitalization than those admitted on the same day. Immediate admission for compliance of proper treatment protocol is advocated. Isolated pedal burns were most commonly sustained at home, indoors, and in the kitchen. A significant number of isolated burns to the feet were from a scald source, partial thickness in depth, and required no grafting. Much of the wound management involved treating elements found in traumatic, dysvascular, and diabetic pedal lesions.
评估了足部孤立烧伤以及作为多灶性热损伤一部分的足部烧伤的来源与深度关系。随机选取并回顾了芝加哥大学烧伤中心五年内的病例。足部孤立烧伤33例，其来源分布为：烫伤70%、油脂烫伤9%、热固体烫伤9%、火焰烧伤6%、其他6%。在包含足部的多灶性烧伤患者中，有89例，其来源分布为：烫伤42%、油脂烫伤5%、热固体烫伤2%、火焰烧伤39%、电击伤5%、冻伤1%、其他6%。呈现了来源与深度以及植皮需求的情况。烧伤后延迟入院的患者相比当天入院的患者，植皮需求增加，住院时间更长。提倡立即入院以遵循正确的治疗方案。足部孤立烧伤最常见于家中室内厨房。大量足部孤立烧伤源于烫伤，深度为浅度，无需植皮。大部分伤口处理涉及治疗创伤性、血管性不良和糖尿病足部病变中出现的因素。
