On October 28, Xiao Yang, a plastic surgery/burn surgeon at West China Hospital of Sichuan University, and his colleagues performed the fourth and fifth toe expansion surgery on the right foot for Xiao Wang, a 17-year-old patient and a senior high school boy, carefully cleaning away the necrotic tissue, of which only bones were left at the end of the fifth toe. Xiao Yang and his colleagues hope to keep Xiao Wang's toes as much as possible and avoid a greater adverse impact on the future of this young student.
What made Xiao Wang's injury so serious was an ordinary boiling water burn. But after the injury, Xiao Wang used a liquid condensed "rapid cooling agent" and sprayed "cooling" at close range, during which the burn turned into frostbite, resulting in tissue necrosis.
The toes were burned by boiling water
17-year-old boys do not "cool down", and burns become frostbite
Xiao Yang told Red Star News that on the evening of October 22, the department received a patient who was admitted to the hospital with burns, which was Xiao Wang, a 17-year-old high school senior boy. His right foot was accidentally burned by boiling water, but the injury was more serious than ordinary boiling water burns.
It turned out that after being accidentally burned on October 21, Xiao Wang used a "rapid cooling agent" to spray the burn at close range due to the strong burning sensation. Later, it was found that the fifth toe of the right foot turned purple and black, and the injury became more and more serious, and he had to go to the hospital for treatment.
Injuries at the time of admission.
Xiao Yang found this "rapid cooling agent" that was packed in a stainless steel can through the patient's account, and saw the ingredients and instructions for use on the advertisement, "[The advertisement] said that there was dry ice and refrigeration factors, but it was not clear which refrigeration factor it was." Xiao Yang said that this "rapid cooling agent" is used for rapid cooling indoors and in the car, and the advertisement also introduces that it can be used as a body cooling, but it needs to be spaced at least 30 centimeters apart for a safe distance, "and the patient is used at close range." ”
The cooling agent used by Xiao Wang.
On October 28, Xiao Yang and his colleagues underwent trauma expansion surgery for Xiao Wang. "Very, very, very conservatively expanding the wound, we still want to keep his toe as much as possible, without amputation." Xiao Yang said that the function of the toe is to grasp the ground, if the toe is amputated, the child's future sports, such as kicking football and running, will be affected. More importantly, employment in some special types of work will be restricted.
Improper operation almost amputation of the toe
Don't believe in "folk remedies" Don't blindly deal with wounds
Xiao Yang introduced that after a week of treatment and expansion surgery, although the end of Xiao Wang's fifth toe was amputated, exposing the bone, the entire skin layer was necrotic and decaying, and the blood vessels were embolized due to frostbite, but the bone state of Xiao Wang's toe was still good, and there was no surgical indication for toe amputation. "Some inter-ecological tissue (i.e., tissue in the local wound of the burn, between normal tissue and necrotic tissue) is preserved. If you recover well, you can do skin grafting surgery, hopefully keeping your toes, how much you can keep. ”
Before expansion.
After expansion.
Although Xiao Wang's toes were saved to the greatest extent, Xiao Yang still felt very sorry for Xiao Wang's situation. It is precisely because of the use of the wrong way that the originally non-serious burn becomes deep frostbite, and even the risk of toe amputation.
Although clinically, cases like Xiao Wang are not common, it is still common for a variety of treatment methods after burns to cause serious consequences. Xiao Yang said that he once encountered patients who used various medicinal oils, ointments, medicinal liquor, toothpaste and even soy sauce to apply wounds after scalding, "These things cannot guarantee sterility, and it is very easy to cause infection and aggravate the condition." ”
Xiao Yang said that for ordinary boiling water burns, the correct way to deal with them is to use flowing cold water to rinse the burns for 15 to 20 minutes, and then wrap the ice cubes with a clean towel to continuously cool the wounds and quickly go to the hospital for treatment. Do not listen to the so-called "folk remedies" and blindly treat the wound, which is very easy to aggravate the disease.
Red Star News reporter Yu Zunsu according to the interviewee
Edited by Peng Jiang
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