Journal of the Korean Burn Society (대한화상학회지)

Korean Burn Society (대한화상학회)
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A Clinical Study on Recent Causing Agents of Chemical Burns

화학 화상의 최근 원인 물질에 관한 임상적 연구

  • Shin, Chi Ho (Department of Plastic and Reconstructive Surgery, Advanced Burn Reconstruction Center, Bundang Jesaeng General Hospital) ;
  • Yu, Sung Hoon (Department of Plastic and Reconstructive Surgery, Advanced Burn Reconstruction Center, Bundang Jesaeng General Hospital) ;
  • Kim, Ji Hoon (Department of Plastic and Reconstructive Surgery, Advanced Burn Reconstruction Center, Bundang Jesaeng General Hospital) ;
  • Kim, Dong Chul (Department of Plastic and Reconstructive Surgery, Advanced Burn Reconstruction Center, Bundang Jesaeng General Hospital)
  • 신치호 (분당제생병원 성형외과, 화상재건센터) ;
  • 유성훈 (분당제생병원 성형외과, 화상재건센터) ;
  • 김지훈 (분당제생병원 성형외과, 화상재건센터) ;
  • 김동철 (분당제생병원 성형외과, 화상재건센터)
  • Received : 2020.05.06
  • Accepted : 2020.05.18
  • Published : 2020.06.30
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Abstract

Purpose: Due to rapid changes in the industrial structure in last decade, the wider various types of chemical agents were introduced. Burn surgeons should be well-informed with rapid changes of chemical burns. We present the recent incidence trends of causing agents of chemical burns. Methods: From 2010 to 2019, 92 chemical burn victims were included in this study. A retrospective study was made about the type, distribution and incidence of the causing agents of chemical burns. Initial treatments of most chemical burn wounds are copious saline irrigation by tap water, except hydrofluoric acid burn cases managed by 10% calcium gluconate injection. In alkali chemical burns on extremity, if thin eschars appear in postburn 2~3 days, acute early surgical escharectomy and split thickness skin graft were done. Results: More than 9 types of major chemicals causing chemical burns were surveyed, and the most common causing agent of chemical burns was Hydrofluoric acid (23.9%) followed by Acetic acid (19.6%) and Sodium hydroxide (8.7%). Conclusion: From 2010 to 2019, changes in the causing agent of chemical burns are that the types of major causing agents of chemical burns have increased and the distribution and incidence of causing agents have changed compared to previous reports. According to this study, more than 9 types of major chemicals causing chemical burns were surveyed, and the most common causing agent of chemical burns was Hydrofluoric acid (23.9%) followed by Acetic acid, Sodium hydroxide.

Keywords

References

  1. Hardwicke J, Hunter T, Staruch R, Moiemen N. Chemical burns - an historical comparison and review of the literature. Burns 2012;38:383-387. https://doi.org/10.1016/j.burns.2011.09.014
  2. Mckee D, Thoma A, Bailey K, Fish J. A review of hydrofluoric acid burn management. Plast Surg 2014;22:95-98. https://doi.org/10.1177/229255031402200202
  3. Kim DH, Jang YC, Kim DC. A Clinical Study of Chemical Burns. J Korean Burn Soc 1997;24:122-132.
  4. Woo JW, Han DC, Park DH. A Treatment of Chemical Burn Caused by Chemics, Acid and Alkalis. J Korean Burn Soc 1999;2:105-110.
  5. Oh SK, Lee JW, Jang YC, Oh SJ. Analystic Study of Chemical Burn. J Korean Burn Soc 2002;5:142-147.
  6. Ryu AY, Hur GY, Lee DL. A Clinical Observation of Chemical Burn. J Korean Burn Soc 2009;12:131-134.
  7. ISBI Practice Guidelines Committee, Advisory Subcommittee, Steering Subcommittee. ISBI Practice Guidelines for Burn Care, Part 2. Burns 2018;44:1617-1706. https://doi.org/10.1016/j.burns.2018.09.012
  8. Alexander W, Coghlan P, Greenwood J. A ten-year retrospective analysis of cement burns in a tertiary burns center. J Burn Care Res 2014;35:80-3. https://doi.org/10.1097/BCR.0b013e31829b21f3
  9. Chung JY, Kowal-Vern A, Latenser BA, Lewis 2nd RW. Cement-related injuries: review of a series, the National Burn Repository, and the prevailing literature. J Burn Care Res 2007;28:827-34. https://doi.org/10.1097/BCR.0b013e3181599bb1
  10. Alexander W, Coghlan P, Greenwood J. A ten-year retrospective analysis of cement burns in a tertiary burns center. J Burn Care Res 2014;35:80-3. https://doi.org/10.1097/BCR.0b013e31829b21f3
  11. Akter F. The role of hydrogen sulfide in burns. Burns 2016;42:519-25. https://doi.org/10.1016/j.burns.2015.07.005
  12. Lin TM, Lee SS, Lai CS, Lin SD. Phenol burn. Burns 2006;32:517-21. https://doi.org/10.1016/j.burns.2005.12.016
  13. Barillo DJ, Cancio LC, Goodwin CW. Treatment of white phosphorus and other chemical burn injuries at one burn center over a 51-year period. Burns 2004;30:448-52. https://doi.org/10.1016/j.burns.2004.01.032