Janezic T F
Department of Plastic Surgery and Burns, Clinical Centre Ljubljana, Slovenia.
Burns. 1997 Feb;23(1):78-80. doi: 10.1016/s0305-4179(96)00070-8.
Two patients with burns following petrol sniffing are presented. They sustained an 8 per cent and a 70 per cent total body surface area burn. The majority of the burned areas of both patients were full thickness and were treated by early excision and autografting, and in one patient with cultured epidermal autografts also. Both patients came from disorganized families, had behavioural problems and poor school performance. Clothes soaked with petrol, altered mental state and cigarette smoking are major risk factors for thermal injury while inhaling petrol. In order to recognize acute and chronic intoxication, burns unit staff should be aware of the clinical signs related to inhalation of petrol, especially because some of the burned petrol sniffers might not admit to petrol abuse. The social worker and psychologist are very likely to be vital in the rehabilitation of such patients.
本文介绍了两名因吸食汽油而烧伤的患者。他们的烧伤面积分别为全身表面积的8%和70%。两名患者大部分烧伤区域均为全层烧伤，均接受了早期切除和自体植皮治疗，其中一名患者还接受了培养的表皮自体移植。两名患者均来自家庭关系混乱的家庭，存在行为问题且学习成绩不佳。浸有汽油的衣物、精神状态改变和吸烟是吸入汽油时导致热损伤的主要危险因素。为了识别急性和慢性中毒情况，烧伤科工作人员应了解与吸入汽油相关的临床症状，特别是因为一些烧伤的汽油吸食者可能不承认滥用汽油。社会工作者和心理学家在这类患者的康复过程中很可能至关重要。
