Clinical arterial infusion of calcium gluconate: The preferred method for treating hydrofluoric acid burns of distal human limbs

• Authors: Yuanhai Zhang , Liangfang Ni , Xingang Wang , Ruiming Jiang , Liping Liu , Chunjiang Ye , Wenhao Xia , Chunmao Han

Abstracts

EN

Objective: This study was designed to evaluate the efficiency and safety of arterial infusions of calcium gluconate to treat hydrofluoric (HF) acid burns of the distal human limbs. Materials and Methods: Eligible patients with HF burn limbs, collected from January 2008 to October 2011, were given the arterial infusion of calcium gluconate into the injured limbs. The measures of pain were conducted before the infusion, immediately after the infusion, 4 h after the infusion, and 2 days after the infusion by the visual analogy score (VAS). If the VAS score was higher than 4.0 at the time point 4 h after the first infusion, the infusion was repeated. The time of wound healing, and the number and ratio of the cases receiving the surgical operation were also evaluated. Results: A total of 118 patients, male (107 cases) and female (11 cases), were collected, including 64 cases of outpatients and 54 cases of inpatients. The age of the subjects ranged from 16 to 60 years, with the mean age of 37.6. The burn sites were located in the lateral limbs (28 cases) and in the unilateral limbs (90 cases). For 107 cases, the pain scores decreased quickly after the first infusion. The other 11 cases, with the VAS score higher than 4.0 at the time point 4 h after the first infusion, received the second infusion. The average time of wound healing and the ratio of the cases receiving the surgical operation were closely related to the interval from the injury to the reception of infusion. Conclusions: Arterial infusion of calcium gluconate, effectively relieving the pain, blocking wound progressive deepening, and causing no adverse effects, could be the preferential method to treat hydrofluoric acid burns of the distal human limbs.

Keywords

EN

Hydrofluoric Acid; burn; calcium gluconate; arterial infusion

• Publisher: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
• Journal: International Journal of Occupational Medicine and Environmental Health
• Year: 2014
• Volume: 27
• Issue: 1
• Pages: 104-113

Dates

published

2014

Contributors

author

Yuanhai Zhang

• Department of Burns, Zhejiang Quhua Hospital, Quzhou, China

author

Liangfang Ni

• Department of Burns, Zhejiang Quhua Hospital, Quzhou, China

author

Xingang Wang

• Department of Burns & Wound Care Center, 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, China

author

Ruiming Jiang

• Department of Burns, Zhejiang Quhua Hospital, Quzhou, China

author

Liping Liu

• Department of Burns, Zhejiang Quhua Hospital, Quzhou, China

author

Chunjiang Ye

• Department of Burns, Zhejiang Quhua Hospital, Quzhou, China

author

Wenhao Xia

• Department of Burns, Zhejiang Quhua Hospital, Quzhou, China

author

Chunmao Han

• Department of Burns & Wound Care Center, 2nd Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, China

Identifiers

DOI

10.2478/s13382-014-0225-4

Biblioteka Nauki

2178799