Fire and Flame Burn Injury in an Operating Room: A Case Report and Literature Review

開刀房手術火災：病例報告暨文獻回顧

陳憲德(Hsien-Der Chen) ； 阮祺文(Chi-Wen Juan)

《醫學與健康期刊》 6卷1期 (2017/03) Pp. 127-132

摘要

The three elements of a fire (ignition source, fuel, and oxidizer) are abundant in any operating room. Operating room fires are a risk for patient safety. They can be prevented by education and training of operating room members on how to prevent and manage fires in this setting. We report a patient with ileus who suffered a second degree flame burn caused by ignition of alcohol-based solutions while receiving urgent exploratory laparotomy. The strategies to reduce the fire risk include: avoiding pooling of alcohol-based solutions by using the minimum amounts necessary, ensuring the solutions dry completely before draping, and minimizing the use of alcohol- based solutions.

關鍵字

Alcohol ； Fire ； Operating room

並列摘要

開刀房內的物品含有許多的火災三要素(點火源、燃料及氧化物)，開刀房火災是病人安全的一個危險因子，它應該經由開刀房人員對火災預防及處理的教育訓練來避免，本文報告一位腸阻塞的病人在接受副腹探查手術時因含酒精成份之消毒劑被點燃而造成二級燒傷:降低火災風險的方法包括：使用最少需要的量以避免含酒精成份之消毒劑聚積，在鋪單之前確定溶液已完全乾燥，減少含酒精成份之消毒劑的使用。

並列關鍵字

酒精 ； 火災 ； 開刀房

參考文獻

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Chae, SB,Kim, WK,Yoo, CJ,Park, CW(2014).Fires and burns occurring in an electrocautery after skin preparation with alcohol during a neurosurgery.J Korean Neurosurg Soc..55,230-3.