背景和目的手部接触烧伤在儿科人群中很常见,最常见的病因涉及接触家庭中的热表面。手也经常参与儿科烫伤。这项研究的目的是确定手部烧伤的不同表现,并分析皇家阿伯丁儿童医院(RACH)儿科人群的结局。方法回顾性分析2017年至2020年到我们烧伤中心就诊的儿科手部烧伤患者的匿名临床资料。共有52名患者(65只受影响的手)被纳入研究。检查了存储在NHSGrampian的电子患者记录系统上的临床信件的烧伤表面积,时间愈合,管理措施,包括规定的药物治疗和烧伤后遗症。结果患者平均年龄3岁4个月。男性患者31例,女性患者21例。儿科手部烧伤最常见于手掌,后面只有手指。与滚刀接触是最常见的病因,接着是烫伤.平均愈合时间为10天(范围2-28天)。在初次入院时的住院时间和完成愈合的时间之间没有发现相关性。共有86.5%(n=45)的患者接受了敷料治疗,13.5%(n=7)的患者接受了手术治疗。在这七个病人中,四人进行了烧伤组织的手术清创,冲刷,和敷料,其余三人进行了切除和移植,并用厚厚的裂层皮肤移植物进行了移植。在这三个病人中,一名患者必须接受全厚度皮肤移植的二次重建。结论已经发现,本研究中的大多数患者通过主要保守的敷料护理和定期检查措施完全治愈。儿科人群中孤立的手烧伤的后遗症率很低,而手掌是该人群中最常见的烧伤区域。
Background and aim Contact burn injuries to the hand are common in the paediatric population, with the most common aetiology involving touching hot surfaces in the household. The hand is also often involved in paediatric scald injuries. The aim of this study was to determine the different presentations of hand burn injuries and analyse the outcomes in the paediatric population at Royal Aberdeen Children\'s Hospital (RACH). Methods Anonymised clinic data for paediatric patients with hand burns presenting to our burn centre from 2017 to 2020 were retrospectively reviewed. A total of 52 patients (65 affected hands) were included in the study. Clinic letters stored on NHS Grampian\'s electronic patient record system were reviewed for burn surface area, time to healing, management measures including medications prescribed and sequelae of the burn injury. Results The average patient age was three years and four months old. There were 31 male patients and 21 female patients. Paediatric hand burns were most commonly confined to the palm only, followed by the fingers only. Contact with a hob was the most common aetiology, followed by scald burns. The average time to healing was 10 days (range 2-28 days). No correlation was found between length of stay on initial hospital admission and time to complete healing. A total of 86.5% (n=45) of patients were managed with dressings and 13.5% (n=7) of patients underwent surgical management. Of these seven patients, four had surgical debridement of burn tissue, washout, and dressing, and the remaining three had an excision and grafting with thick split-thickness skin grafts. Of these three patients, one patient had to undergo secondary reconstruction with a full-thickness skin graft. Conclusion It has been found that most patients in this study completely healed with primarily conservative measures of dressing care and regular check-ups. Isolated hand burns in the paediatric population present a low rate of sequelae and palms are the most common area of burn injury in this demographic.