Bir Okul Laboratuvar Patlamasına Bağlı Yanıkların Analizi

Yıl 2018, , 141 - 148, 26.03.2018

Yücel Yüce , Kutlu Hakan Erkal

https://doi.org/10.31832/smj.368641

Öz

ÖZET

Giriş: Laboraturlarda
gerçekleşen patlamalar genellikle birden fazla insanı etkiler ve bu hastalarda
inhalasyon yanıkları gerçekleşir. Bu çalışma İstanbul’da gerçekleşen laboratuar
patlaması sonucu oluşan yanık başvurularının retrospektif bir gözden geçirilmesidir.

Metodlar:
Değerlendirilen klinik bilgiler hastaların yaş,
cinsiyet, yanık derinliği, total yanık yüzey alanı, yanık alanlarının dağılımı
ve tedavi seçenekleridir. İstanbul’ da bir orta okulun laboratuarında meydana
gelen patlamaya bağlı alev yanığı oluşan 6 hasta hastaneye başvurmuştur. Bu
hastaların 2’si erkek ve 4’ü kadındır.

Sonuçlar: Hastaların
ortalama yaşı 14.3 (11-28)’ dir. Ortalama total yanık yüzey alanı %18.3(%5-45)’
tür. 2 hasta inhalasyon hasarlarına bağlı yanık yoğun bakımda tedavi edilmiştir.
Yanık merkezinde ortalama yatış süresi 12 gündür (2-36 gün). 4 hasta taburcu
edilmiş, 2 hasta diğer servislere transfer edilmiştir ve hiç ölüm
gerçekleşmemiştir ancak 2 çocuk keloidler ve kontraktürlerin rekonstrüksiyonu
için 3 kez opere edilmişlerdir. Çocuklara ve ailelerine stres bozukluğu ve
oluşan skarlar nedeniyle psikolojik destek verilmiştir.

Son söz: Bu
önlenebilir komplikasyonlardan korunmak için gerekli tedbirler alınmalıdır. Bu
konu ile ve koruyucu gözlükler, elbiseler ve eldivenlerin kullanımı ve ilk
yardım eğitimi ile ilgili öğretmenlerin eğitimlerinde bazı değişikliler
yapılmalıdır.

Anahtar Kelimeler

pediatrik yanık, patlama, laboratuar kazaları, okul kazaları

The Analysis of Burns Due to an Explosion in a School Laboratory

Öz

ABSTRACT

Introduction: Explosions in
laboratories usually affect more than one person and chemical, flame and
inhalation burns occur in these people. The study involved a
retrospective review of burn admission of patients to Dr. Lutfi Kırdar Kartal Educating
and Educating Hospital Burn C enter due to laboratory explosion in Istanbul.

Methods: The clinical data
evaluated included the patient's age and sex, the depth of the burn injury, the
total burned surface area, the distribution of the burn areas and treatment. Six
patients were admitted to hospital with flame burns caused
by lab explosion on the elementary school in Istanbul. Patients consisting
of 2 males and 4 females.

Results: Mean age of patients
were 14,3 (11­-28 years). Mean total burned surface area was 18.3 %(5%-45%). Two
patients were treated in burn intensive care unit due to inhalation injuries. Mean
length of stay in burn unit was 12 days (2-36 days). Outcome included; 4 discharges,
2 transferred out to other wards and no patient died but 2 children were
operated for 3 times for reconstruction of keloids and contractures and they
were followed up for 5 years. Psychologic support to these children and their
parents were given because of the stress disorder and the scars occurred in
them.

Conclusion: Take
the necessary precautions so as to prevent these avoidable complications. We must promote some
changes in education of teachers in this issue and in first aid and preventive
measures such as using eyeglasses, protective clothes and gloves.

Anahtar Kelimeler

pediatric burn, explosion, laboratory accidents, school accidents

Kaynakça

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