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碳酸鈣-苦息樂卡因混合凝膠治療手指氫氟酸灼傷:成功治療的個案報告及文獻回顧

Hydrofluoric Acid Burn on the Fingers Treated by Calcium Carbonate-Xylocaine Gel

摘要


氫氟酸暴露造成之傷害,在國內以職業相關的手指氫氟酸灼傷較常見。本文報告一個延遲診斷長達三十七小時之手指的氫氟酸灼傷的個案,以碳酸鈣(calcium carbonate)-苦息樂卡因(Xylocaine)混合凝膠治療成功的經驗。此個案之結果,不僅支持過去碳酸鈣凝膠能有效治療手指氫氟酸灼傷之論述,更顯示對於延遲診斷之手指氫氟酸灼傷仍有明顯之治療效果。因此碳酸鈣-苦息樂卡因混合凝膠外敷治療手指氫氟酸灼傷,值得考慮採用並進一步去探討。

並列摘要


The most common site of hydrofluoric acid burns is the fingers. We report a case of a hydrofluoric acid burn on 3 fingers in which the diagnosis was delayed for 37 hours. This case was successfully treated with a mixture of xylocaine gel and ground calcium carbonate tablets. This supports the use of calcium carbonate gel in the treatment of digital hydrofluoric acid burns, even when treatment is delayed. Therefore we suggest a calcium carbonate-xylocaine gel mixture as the first choice of treatment for hydrofluoric acid burns.

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