未经批准:化学烧伤,特别是与精神疾病有关的伤害,在文献中被低估了。我们介绍了两种保守治疗的自行造成的碱化学烧伤病例。对烧伤进行频繁的临床检查旨在确保适当的愈合并遵守基于定期换药的治疗计划。
UNASISIGNED:一名24岁的妇女在初次受伤的第一天出现了对右前臂的轻微的自我化学烧伤。病原体是含有氢氧化钠的烤箱清洁剂,可引发基于碱的燃烧。损伤的表面积为0.5%的全身表面积(TBSA)全厚度烧伤。患者有复杂的精神病史,诊断为人格障碍,焦虑和抑郁。
未经证实:一名55岁女性出现自我造成的左前臂全层烧伤(0.5%TBSA)。这是在含有氢氧化钠的烤箱清洁剂初次受伤后五天。患者有焦虑和抑郁障碍的精神病史。烧伤管理的主要措施是保守的,定期换药和外用药物。通过指定的电子邮件地址向患者提供远程医疗,以进行虚拟临床烧伤审查和任何紧急问题。拍摄了最初烧伤的照片,并安排就诊以确定愈合进展。
UNASSIGNED:自我造成的化学烧伤应在多学科背景下进行管理,包括早期精神病介入。我们主张采用整体方法来确定保守或操作管理,考虑到患者因素,烧伤的复杂性和临床医生的判断,以简化治疗计划。
UNASSIGNED:在临床实践中,由于自我伤害引起的化学烧伤很少见。回顾了使用烤箱清洁材料持续故意烧伤的两种情况。患者有精神病问题,正在服用药物来控制症状。使用常规敷料和局部乳膏进行密切观察可以使烧伤愈合,而无需手术。我们的建议是用敷料治疗这些烧伤,并在诊所定期随访或几乎治愈。
UNASSIGNED: Chemical burns, particularly injuries related to psychiatric illnesses, are underreported in the literature. We present two cases of self-inflicted alkali chemical burns managed conservatively. Frequent clinical review of the burn was aimed to ensure appropriate healing and compliance with the treatment plan based on regular dressing changes.
UNASSIGNED: A 24-year-old woman presented during the first day of the initial injury with a minor self-inflicted chemical burn to the right forearm. The causative agent was an oven cleaner containing sodium hydroxide triggering an alkali-based burn. The surface area of the injury was 0.5% total body surface area (TBSA) full-thickness burn. The patient had a complex psychiatric history diagnosed with personality disorder, anxiety and depression.
UNASSIGNED: A 55-year-old woman presented with a self-inflicted left forearm full-thickness burn (0.5% TBSA). This was five days after the initial injury from an oven cleaner containing sodium hydroxide. The patient had a psychiatric history of anxiety and depressive disorder.The mainstay of burn management was conservative with regular dressing changes and a topical agent. Telemedicine via a designated email address was given to the patient for virtual clinical burn review and any urgent issues. Photograph of the initial burn was taken, and clinic visits were scheduled to determine healing progress.
UNASSIGNED: Self-inflicted chemical burns are to be managed within a multidisciplinary setting including early psychiatric involvement. We advocate a holistic approach to determine conservative or operative management, taking into account patient factors, burn complexity and clinician\'s judgement to streamline the treatment plan.
UNASSIGNED: Chemical burns due to self-harm are rare to see in clinical practice. A review of two cases secondary to intentional burns sustained using an oven cleaning material. Patients had psychiatric issues and were on medications to control symptoms. Close observation with regular dressings and topical cream would allow burns to heal without the need for an operation. Our recommendation would be to treat these burns with dressings and regular follow up in the clinic or virtually till healed.