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Sulphur Mustard Injuries of the SkinPathophysiology and Management

 

作者: Paul Rice,  

 

期刊: Toxicological Reviews  (ADIS Available online 2003)
卷期: Volume 22, issue 2  

页码: 111-118

 

ISSN:1176-2551

 

年代: 2003

 

出版商: ADIS

 

关键词: Chemical burns

 

数据来源: ADIS

 

摘要:

Sulphur mustard is a vesicant (blistering agent), which produces chemical burns with widespread blistering. It was used extensively as a chemical warfare agent in the First World War, and has allegedly been employed in a number of conflicts since then, most recently by Iraq against Iran (1984–1987). The potential further use of mustard in military conflicts and by terrorists remains a significant threat that if realised in practice would result in a large number of casualties with severely incapacitating, partial thickness burns. Such injuries clearly present a huge potential wound care problem.The development and healing of mustard-induced cutaneous injuries has not only been observed in human casualties, but has been studied recently at the microscopic and ultrastructural levels in several animal models. Vesication generally begins on the second day after exposure, and may progress for up to 2 weeks. Wound healing is considerably slower than for a comparable thermal burn, and patients often require extended hospital treatment. The current management strategy is essentially symptomatic and supportive. Recently, two techniques for removing damaged tissue and improving wound healing have been investigated. Mechanical dermabrasion and laser debridement (‘lasablation’) both produced an increased rate of wound healing in animal models, and may be of benefit in a clinical context.

 

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