Chemical burns: pathophysiology and therapeutic protocols-do cervico-facial injuries pose specific challenges?

Q3 Medicine
Rares-Adrian Giurgiu, Catalina-Stefania Dumitru, Andreea Grosu-Bularda, Eliza-Maria Bordeanu-Diaconescu, Adrian Frunza, Sabina Grama, Florin-Vlad Hodea, Tiberiu-Paul Neagu, Ioan Lascar, Cristian-Sorin Hariga
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Abstract

Chemical burns, though relatively rare, present significant diagnostic and therapeutic challenges due to their complex pathophysiology and the need for specialized care. A retrospective study was conducted, examining the characteristics, treatment, and outcomes of 33 patients with chemical burns admitted to our burn center for 8 years, representing 4.39% of all burn cases. Among them, 15 patients (45.45%) had chemical burns on the face and neck. The majority of these patients were men, with a relatively younger average age, and a significant proportion had work-related accidents. The burned surface area was variable, with many patients sustaining small total body surface area (TBSA), although some presented with extensive involvement. The prevalence of superficial partial-thickness burns was higher, but deep partial-thickness and full-thickness burns were also common. A large proportion of patients had favorable Abbreviated Burn Severity Index (ABSI) scores, indicating a high probability of survival. However, ocular involvement was a major complication. The study emphasizes the importance of timely intervention, including appropriate wound management strategies, specialized dressings, and skin substitutes. The findings also stress the need for a multidisciplinary approach, close monitoring, and adherence to safety protocols to optimize outcomes and minimize long-term complications in patients with chemical burns, particularly those of the face and neck region.

化学烧伤:病理生理学和治疗方案-颈部-面部损伤会带来特殊的挑战吗?
化学烧伤,虽然相对罕见,但由于其复杂的病理生理和需要专门护理,提出了重大的诊断和治疗挑战。回顾性分析我院烧伤中心收治的33例化学烧伤患者8年的特点、治疗方法和预后,占烧伤病例的4.39%。其中面部及颈部化学烧伤15例(45.45%)。这些病人大多是男性,平均年龄相对较年轻,而且有很大比例的人发生过工伤事故。烧伤的表面积是可变的,许多患者维持小的体表面积(TBSA),尽管有些患者表现为广泛的受累。浅表部分厚度烧伤发生率较高,但深度部分厚度和全层烧伤也很常见。大部分患者有良好的急性烧伤严重指数(ABSI)评分,表明生存率高。然而,眼部受累是主要的并发症。该研究强调了及时干预的重要性,包括适当的伤口管理策略、专门的敷料和皮肤替代品。研究结果还强调,需要采用多学科方法,密切监测,并遵守安全方案,以优化结果,最大限度地减少化学烧伤患者的长期并发症,特别是面部和颈部区域。
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来源期刊
Journal of Medicine and Life
Journal of Medicine and Life Medicine-Medicine (all)
CiteScore
1.90
自引率
0.00%
发文量
202
期刊介绍: The Journal of Medicine and Life publishes peer-reviewed articles from various fields of medicine and life sciences, including original research, systematic reviews, special reports, case presentations, major medical breakthroughs and letters to the editor. The Journal focuses on current matters that lie at the intersection of biomedical science and clinical practice and strives to present this information to inform health care delivery and improve patient outcomes. Papers addressing topics such as neuroprotection, neurorehabilitation, neuroplasticity, and neuroregeneration are particularly encouraged, as part of the Journal''s continuous interest in neuroscience research. The Editorial Board of the Journal of Medicine and Life is open to consider manuscripts from all levels of research and areas of biological sciences, including fundamental, experimental or clinical research and matters of public health. As part of our pledge to promote an educational and community-building environment, our issues feature sections designated to informing our readers regarding exciting international congresses, teaching courses and relevant institutional-level events.
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