Refinement of Continuous Intra-Arterial Infusion Therapy to Hydrofluoric Acid Dermal Burns

氫氟酸之治療方法包括水療、局部藥物塗抹、靜脈注射解毒藥物、動脈注射解毒藥物、以及離子交換。自1997年一月至2004年十二月，共有20位病人（共51隻手指）因氫氟酸灼傷於本院接受連續性動脈注射治療。其中4位女性，16位男性。經過治療後，所有病人的手指均存活且無重大併發症。我們分析這20位病人以討論連續性動脈注射解毒藥物calcium gluconate的療效、藥物治療劑量、給藥方法及技術、其他輔助治療方法之必要性及使用時機（如：拔指甲或將水泡打開）、以及如何減少此種微侵入性療法之併發症。總而言之，此種療法可適用於任何濃度的氫氟酸灼傷且可挽救更多受傷的手指免於進一步的傷害。

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並列摘要

Twenty patients suffering from HF dermal burns in Kaohsiung Medical University Hospital from January 1997 to December 2004 were investigated in order to further identify the efficiency of continuous intra-arterial calcium gluconate infusion. The infusion dose of calcium gluconate, the set-up of this technique, the necessity of adjuvant procedure such as nail removal or de-roofing of bullae, and the decrease of the technique-related complications are also discussed. A total of 51 fingers in twenty patients were all salvaged without major complications. Furthermore cosmetic appearance and hand function were maintained. In conclusion, the feasibility of applying this technique in any concentration of HF injury can be considered and advocated universally in order to salvage more digits from HF dermal burns.

並列關鍵字

HF burn ； calcium gluconate ； continuous intra-arterial infusion CIAI

國際替代計量

Refinement of Continuous Intra-Arterial Infusion Therapy to Hydrofluoric Acid Dermal Burns

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