Clinical and forensic signs related to chemical burns: A mechanistic approach

被引:25
作者
Dinis-Oliveira, Ricardo Jorge [1 ,2 ,3 ,4 ,5 ]
Carvalho, Felix [3 ]
Moreira, Roxana [2 ,5 ]
Proenca, Jorge Brandao [2 ]
Santos, Agostinho [1 ,4 ,6 ]
Duarte, Jose Alberto [7 ]
Bastos, Maria de Lourdes [3 ]
Magalhaes, Teresa [1 ,4 ,6 ]
机构
[1] Univ Porto, Dept Legal Med & Forens Sci, Fac Med, P-4050167 Oporto, Portugal
[2] Adv Inst Hlth Sci North ISCS N, IINFACTS Inst Res & Adv Training Hlth Sci & Techn, Dept Sci, CESPU,CRL, Gandra, Portugal
[3] Univ Porto, REQUIMTE, Toxicol Lab, Dept Biol Sci,Fac Pharm, P-4050167 Oporto, Portugal
[4] Ctr Forens Sci CENCIFOR, Coimbra, Portugal
[5] Univ Minho, Dept Biol, CBMA Ctr Mol & Environm Biol, Braga, Portugal
[6] Natl Inst Legal Med & Forens Sci, North Branch, Ip, Portugal
[7] Univ Porto, Fac Sport, CIAFEL, P-4050167 Oporto, Portugal
关键词
Chemical burns; Sulfuric acid; Hydrofluoric acid; Nitric acid; Hydrochloric acid (muriatic acid); Acetic acid and derivatives; Hydrogen sulphide; Sodium hydoxide (caustic soda); Calcium hydroxide (cement); Paraquat; Inflation and rupture of airbags; Povidone iodine; Chlorhexidine/alcohol; Laxatives; Vesicants; HYDROFLUORIC-ACID BURNS; WHITE PHOSPHORUS BURN; OF-THE-LITERATURE; SULFUR-DIOXIDE INHALATION; CAUSTIC SODA INGESTION; FULL-THICKNESS BURN; HYDROGEN-SULFIDE; POVIDONE-IODINE; MUSTARD GAS; CEMENT BURNS;
D O I
10.1016/j.burns.2014.09.002
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
This manuscript highlights and critically analyses clinical and forensic signs related to chemical burns. Signs that may lead to suspicion of a particular chemical are thoroughly discussed regarding its underlying mechanisms. Burns due to sulfuric, hydrofluoric, nitric, hydrochloric (muriatic) and acetic (including derivatives) acids, hydrogen sulphide, sodium (caustic soda) and calcium (cement) hydroxides, paraquat, burns after inflation and rupture of airbags, povidone iodine, chlorhexidine/alcohol (in preterm infants), laxatives, and vesicants (warfare agents), will be reviewed since these are the most common agents found in daily practice, for which relevant and timed information may be helpful in formulating an emergency treatment protocols and toxicological analysis. (C) 2014 Elsevier Ltd and ISBI. All rights reserved.
引用
收藏
页码:658 / 679
页数:22
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