Archives of Plastic Surgery

  • 제42권2호
  • /
  • Pages.173-178
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  • 2015
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Early Intervention for Low-Temperature Burns: Comparison between Early and Late Hospital Visit Patients

  • Choi, Matthew Seung Suk (Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine) ;
  • Lee, Ho Joon (Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine) ;
  • Lee, Jang Hyun (Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine)
  • 투고 : 2014.10.27
  • 심사 : 2014.12.11
  • 발행 : 2015.03.15
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초록

Background Various focal heating devices are popular in Korea under the cultural influence of the traditional ondol under-floor method of home heating. These devices can cause severe burn-like injuries resulting from device malfunction or extended with low heat contact. In addition to injuries under these high heat contact, burns can be occurred by low heat exposure with prolonged periods despite the devices are properly functioning. In order to develop strategies to reduce the duration of periods of illness due to low-temperature burns, we analyzed and compared treatment methods and therapeutic periods for this type of injury. Methods This retrospective study included 43 patients burned under low heat conditions. Patients were divided into an operative group and a conservative group. The patients in the operative group underwent at least one surgical excision, and were further subdivided into early and late visit groups. The conservative group was treated only with dressings. We compared the treatment periods between the operative group and the conservative group, and also compared the preparation periods and treatment periods between the two operative groups. Results The average treatment period was significantly shorter in the operative group (P=0.02). In the early visit operative group, both wound preparation and treatment were briefer than in the late visit group. Conclusions We recommend that early proper burn care and early surgical intervention, including appropriate excision, are feasible ways to reduce the treatment period of lowtemperature burn patients.

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참고문헌

  1. Song DS, Kim HC, Woo GW. A retrospective epidemiologic analysis of burn patients at Hanil hospital. J Korean Burn Soc 2009;12:21-37.
  2. Gray DT, Pine RW, Harnar TJ, et al. Early surgical excision versus conventional therapy in patients with 20 to 40 percent burns. A comparative study. Am J Surg 1982;144:76-80. https://doi.org/10.1016/0002-9610(82)90605-5
  3. Herndon DN, Barrow RE, Rutan RL, et al. A comparison of conservative versus early excision. Therapies in severely burned patients. Ann Surg 1989;209:547-52. https://doi.org/10.1097/00000658-198905000-00006
  4. Mosier MJ, Gibran NS. Surgical excision of the burn wound. Clin Plast Surg 2009;36:617-25. https://doi.org/10.1016/j.cps.2009.05.006
  5. Vinita P, Khare NA, Chandramouli M, et al. Comparative analysis of early excision and grafting vs delayed grafting in burn patients in a developing country. J Burn Care Res 2014 Oct 13 [Epub]. http://dx.doi.org/10.1097/BCR.0b013e31827e4ed6.
  6. Papp A, Kiraly K, Harma M, et al. The progression of burn depth in experimental burns: a histological and methodological study. Burns 2004;30:684-90. https://doi.org/10.1016/j.burns.2004.03.021
  7. Agency for technology and standards. Recommendation recall of electrical heating product: electric pad and mat. The ministry of knowledge economy [Internet]. Sejong: Ministry of Trade, Industry and Energy Republic of Korea; c2011 [cited 2012 Apr 3]. Available from: http://www.mke.go.kr/news/coverage/bodoView.jsp?pCtx=1&seq=73596.
  8. Mun JH, Jeon JH, Jung YJ, et al. The factors associated with contact burns from therapeutic modalities. Ann Rehabil Med 2012;36:688-95. https://doi.org/10.5535/arm.2012.36.5.688
  9. Moritz AR, Henriques FC. Studies of thermal injury: II. The relative importance of time and surface temperature in the causation of cutaneous burns. Am J Pathol 1947;23:695-720.
  10. Henriques FC, Moritz AR. Studies of thermal injury: I. The conduction of heat to and through skin and the temperatures attained therein. A theoretical and an experimental investigation. Am J Pathol 1947;23:530-49.
  11. Shupp JW, Nasabzadeh TJ, Rosenthal DS, et al. A review of the local pathophysiologic bases of burn wound progression. J Burn Care Res 2010;31:849-73. https://doi.org/10.1097/BCR.0b013e3181f93571
  12. Lee KM, Kim WH, Lee JH, et al. Risk factors of treatment failure in diabetes foot ulcer patients. Arch Plastic Surg 2013;40:123-8. https://doi.org/10.5999/aps.2013.40.2.123
  13. Choi MS, Jeon SB, Lee JH. Predictive factors for successful limb salvage surgery in diabetic foot patients. BMC surg 2014;14:113. https://doi.org/10.1186/1471-2482-14-113

피인용 문헌

  1. Local Passive Heat for the Treatment of Hypertension in Autonomic Failure vol.10, pp.7, 2015, https://doi.org/10.1161/jaha.120.018979