Bond S J, Schnier G C, Sundine M J, Maniscalco S P, Groff D B
Division of Pediatric Surgery, University of Louisville School of Medicine, Kentucky, USA.
J Trauma. 1998 Mar;44(3):523-6. doi: 10.1097/00005373-199803000-00019.
Highly concentrated solutions of sulfuric acid are available to unclog drains. We have noted a substantial number of both accidental and intentional cutaneous burns caused by these agents.
A retrospective review was conducted of children and adults who sustained sulfuric acid burns over a 13-year period ending in May 1996. Reports of injuries related to drain cleaners filed with the United States Consumer Product Safety Commission between 1991 and 1995 were also reviewed.
Twenty-one patients (13 children, 8 adults) sustained cutaneous burns caused by concentrated sulfuric acid solutions. In 8 instances, the burn was accidental, whereas in 13 cases, sulfuric acid was used as a weapon. Median total body surface area burned was 5% (range, 1-25%). Approximately 50% of burns involved the face and neck. Skin grafting was required in 14 patients (66%). It is estimated that nationwide approximately 3,000 injuries per year are related to drain cleaners and that one-third of these involve cutaneous burns.
Highly concentrated sulfuric acid drain cleaner can produce full-thickness cutaneous burns that require skin grafting in the majority of cases. Proper use of these agents and sequestering them from children may reduce accidental contact; however, their abuse as agents of assault remains a source of significant morbidity.
高浓度硫酸溶液可用于疏通下水道。我们注意到大量由这些制剂导致的意外和故意皮肤烧伤事件。
对截至1996年5月的13年间遭受硫酸烧伤的儿童和成人进行回顾性研究。还查阅了1991年至1995年间向美国消费品安全委员会提交的与下水道清洁剂相关的伤害报告。
21例患者（13名儿童，8名成人）遭受浓硫酸溶液导致的皮肤烧伤。8例为意外烧伤，13例中硫酸被用作武器。烧伤的中位总体表面积为5%（范围1%-25%）。约50%的烧伤累及面部和颈部。14例患者（66%）需要进行皮肤移植。据估计，全国每年约有3000起与下水道清洁剂相关的伤害事件，其中三分之一涉及皮肤烧伤。
高浓度硫酸下水道清洁剂可导致全层皮肤烧伤，大多数情况下需要进行皮肤移植。正确使用这些制剂并将其与儿童隔离可减少意外接触；然而，它们被用作攻击手段仍然是导致严重发病的一个原因。
