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黄磷又名白磷,在工业上用途很广,因此由黄磷所致的烧伤常能遇见,在战伤中也较多见。黄磷的燃点低(34℃),遇空气即可自燃,当与皮肤接触后可直接引起皮肤烧伤;黄磷氧化后遇水形成磷酸所产生的热和酸本身的腐蚀作用又可进一步损伤皮肤。黄磷毒性很大(0.5～1g的黄磷即可致死),因黄磷烧伤而在创面上残留的磷颗粒,易溶于脂类,在皮下脂肪组织内能迅速扩散而被吸收,造成全身性磷中毒,引起肝、肾、心脏等的严重损害而危及生命。因此,刘黄磷烧伤患者应立即清除残留在创面上的磷颗粒,以防止和减轻磷中毒,这是大面积黄磷烧伤救治成败的关键。以硫酸铜作为创面解毒剂用于治疗黄磷烧伤已得到国内外的公认。但是硫酸铜对人体亦具有毒性,单纯应用硫酸铜溶液冲洗创面,国内外曾有发生溶血、黄疸、肾功能和心肺衰竭的报道。同时硫酸铜用于创面会给病人增加损害,尤以大面积烧伤者更甚。因此,在临床抢救上述病例时,既要达到治疗目的,
Yellow phosphorus, also known as white phosphorus, is widely used in industry, so the yellow phosphorus caused by the burn can often meet, also more common in war-wounded. Yellow phosphorus ignition point is low (34 ℃), in case of air can be spontaneous combustion, when in contact with the skin can directly cause skin burns; yellow phosphorus oxidation after the formation of phosphoric acid heat and the acid itself can further damage the skin corrosion . Yellow phosphorus is very toxic (0.5 ~ 1g of yellow phosphorus can be fatal), due to yellow phosphorus residue in the wound residue of phosphorus particles, soluble in lipids, subcutaneous adipose tissue can quickly spread and be absorbed, resulting in systemic Phosphorus poisoning, causing serious damage to the liver, kidney, heart and other life-threatening. Therefore, Liu yellow phosphorus burn patients should immediately remove residual phosphorus particles in the wound to prevent and reduce phosphorus poisoning, which is the key to the success or failure of large-scale yellow phosphorus burn treatment. Copper sulfate as a wound antidote for the treatment of yellow phosphorus burn has been recognized at home and abroad. However, copper sulfate is also toxic to the human body. Pure copper sulfate solution is used to flush wounds. There have been reports of hemolysis, jaundice, renal function and cardiopulmonary failure at home and abroad. At the same time, copper sulfate for the wound will increase the damage to patients, especially those with large area burn even worse. Therefore, in the clinical rescue of the above cases, it is necessary to achieve the purpose of treatment,