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頁籤選單縮合
題名 | Hydrofluoric Acid Burns of the Hands=手部氫氟酸灼傷 |
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作者 | 劉明偉; 唐友文; 黃志宏; 方榮煌; Liu, Ming-wei; Tang, Yu-wen; Huang, Chih-hung; Fang, Rong-hwang; |
期刊 | 中華民國外科醫學會雜誌 |
出版日期 | 19970100、19970200 |
卷期 | 30:1 民86.01-02 |
頁次 | 頁26-34 |
分類號 | 416.141 |
語文 | eng |
關鍵詞 | 手部; 氫氟酸灼傷; Hydrofluoric acid; Calcium gluconate; Surgical intervention; Burn; |
中文摘要 | 氫氟酸是一種具有腐蝕性及不尋常本質的無機強酸。長久以來被廣泛應用於蝕刻玻璃、金屬及半導體等工業領域裡。在日常生活中,它可當做除銹劑來使用。手部氫氟酸灼傷可能被誤診為一般化學灼傷,延誤治療,而增加患者的痛苦。其臨床症狀主要為手部強烈的紅腫疼痛、皮膚變硬甚至有水泡形成。值得一提的是,這些症狀可能延遲至數小時之後才發生。氫氟酸除了會造成化學性灼傷外,還可能因氟中毒而導致體內電解質不平衡。倘若第一線醫師沒有正確迅速的診治,患者可能因此遭受永久的傷害甚至死亡。 預防勝於治療,落實工業安全教育方能防患於未然。若不幸發生灼傷,則應立即清除受氫氟酸污染之衣物,並以大量清水沖洗,再於患部局部使用葡萄糖酸鈣製劑,甚至局部或動脈注射葡萄糖酸鈣溶液。這種常用的方法可避免化學灼傷的惡化,預防系統性氫氟酸毒性的發生。若手部全層皮膚灼傷受損,則必須以清創、植皮甚至皮瓣手術來重建皮膚的缺損,恢復手部的外觀及功能。 自民國七十九年至八十四年間,台北榮民總醫院處理了六件手部氫氟酸灼傷的案例,其治療結果令人滿意,在此提出做回顧性的討論。 |
英文摘要 | Hydrofluoric acid (HF) is one of the strongest inorganic acids with very corrosive nature bringing about unusual biologic consequences. It has been used widely in industry for a long period of time. HF is used increasingly in our domestic applications such as rust-removing. If HF burns of the hands are misdiagnosed and managed as other inorganic acid burns, the morbidity and mortality will increase. The clinical manifestations of HF burns are intense pain, swelling, tough coagulation and blister formation. It is important to keep in mind that these symptoms may not appear until a few hours later. The HF acid can cause not only chemical burn, but also electrolyte imbalance. If appropriate and adequate treatment is not instituted promptly, tissue damage may progress for a long period of time and the patient may sustain permanent injury or even death. Prevention is better than treatment. Education and warning to the workers and users to handle this hazardous material carefully and properly can serve to avoid accidents of HF burn. However, once a disastrous accident of this kind occurs, prompt water irrigation is the first aid treatment. Additionally, appropriate treatment such as topical application of calcium gluconate solution or gel should be performed rapidly to prevent the progression of chemical burns and to avoid systemic toxicity of HF. If full-thickness burns of hands occur, debridemeny, skin grafting or even local flap coverage may be necessary to reconstruct the contour and function of the hands. From 1990 to 1995, we treated six patients with HF burns of hands. The management of these HF burns was reviewed and discussed. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。