• 대한화상학회지
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• 제23권1호
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• pp.7-12
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• 2020

Purpose: Due to rapid changes in the industrial structure in last decade, the wider various types of chemical agents were introduced. Burn surgeons should be well-informed with rapid changes of chemical burns. We present the recent incidence trends of causing agents of chemical burns. Methods: From 2010 to 2019, 92 chemical burn victims were included in this study. A retrospective study was made about the type, distribution and incidence of the causing agents of chemical burns. Initial treatments of most chemical burn wounds are copious saline irrigation by tap water, except hydrofluoric acid burn cases managed by 10% calcium gluconate injection. In alkali chemical burns on extremity, if thin eschars appear in postburn 2~3 days, acute early surgical escharectomy and split thickness skin graft were done. Results: More than 9 types of major chemicals causing chemical burns were surveyed, and the most common causing agent of chemical burns was Hydrofluoric acid (23.9%) followed by Acetic acid (19.6%) and Sodium hydroxide (8.7%). Conclusion: From 2010 to 2019, changes in the causing agent of chemical burns are that the types of major causing agents of chemical burns have increased and the distribution and incidence of causing agents have changed compared to previous reports. According to this study, more than 9 types of major chemicals causing chemical burns were surveyed, and the most common causing agent of chemical burns was Hydrofluoric acid (23.9%) followed by Acetic acid, Sodium hydroxide.

• 대한족부족관절학회지
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• 제16권3호
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• pp.190-192
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• 2012

In the extremity surgery, pneumatic tourniquet and povidone-iodine solution are commonly used to provide an aseptic, bloodless field, and their complication rate has remained low. However, chemical burn under tourniquet has been rarely reported. Patients sustained burn injuries over the dependent, weight-bearing regions such as posterior neck, back, buttocks and posterior thighs. This rare adverse complication occurred in a 22-year-old man who underwent modified Brostrom operation with arthroscopic os trigonum excision. 10% povidone-iodine was used as topical antiseptic, and full thickness burn occurred underneath the area of tourniquet application. Main causes of povidone-iodine related chemical burn are considered maceration, irritation of the skin, long term use of the tourniquet and pressure. To reduce the complications like chemical burn, awareness of the risk and the possible pathogenesis as well as the preventive measures is important in surgical practice.

• 대한화상학회지
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• 제24권1호
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• pp.18-20
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• 2021

TCA is widely used in cosmetic treatments such as chemical peels, tattoo removal, and also in gynecological procedures for managing cervical intraepithelial neoplasia. However, storage of high concentration of TCA in a gynecology office is a potential hazard, as it may accidentally cause severe chemical burns. We report a case of deep dermal TCA chemical burn on genital area, which occured accidentally and resulted from misuse of high concentration (90%) of TCA coated vaginal gauze packing dressing during gynecological procedures.

• 대한환경공학회지
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• 제22권12호
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• pp.2141-2148
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• 2000

본 연구는 무연탄올 원료로 제조한 활성탄의 활성화 시간과 burn-off에 따른 세공구조의 변화를 고찰한 것으로 77K에서 질소 흡착실험에 의해 특성을 분석했다. 활성화 시간의 증가에 따라 burn-off는 거의 선형적으로 증가하며, burn-off를 증가시킴에 따라 제조된 활성탄의 총세공부피와 BET 비표면적은 증가했다. $800^{\circ}C$의 활성화는 $950^{\circ}C$의 활성화에 비해 미세세공(micropore)을 많이 생성시켰고, 동일한 burn-off에서는 저온에서 활성화시킨 활성탄에 미세세공이 발달하고 고온에서 활성화시킨 활성탄에 중간이상의 세공이 더 발달해 있었다. 수증기 활성화에 의해서는 직경 $100{\AA}$ 이하의 세공이 주로 발달되었으며 특히 $6{\sim}40{\AA}$ 범위의 세공은 burn-off의 정도에 따라 상당히 발달됨을 알 수 있었다.

• 대한화학회지
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• 제39권10호
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• pp.763-768
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• 1995

Weak burn intensity limit에서 홀의 깊이를 계산하는 기존의 이론을 임의의 burn 세기에서도 계산할수 있도록 NPHB kinetic에 관한 유사 3-준위계를 이용하여 확장하였다, 이 모델은 같은 burn fluence에 대하여 burn 세기가 클 때는 다른 홀의 깊이를 burn 세기가 약한 경우에는 같은 홀의 깊이를 나타내었다. 이 모델을 이용하여 계산된 홀 성장곡선들과 기존의 oxzaine720/glycerol와 tetracene/MTHF glass의 실험 데이타를 비교하였다.

• Archives of Plastic Surgery
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• 제35권6호
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• pp.748-750
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• 2008

Purpose: Chemical burn accounts for a small proportion of burns in burn patient population. However, chemical injuries own importance to their deep tissue destruction which continues long after the initial exposure. $YUHANROX^{(R)}$ is a domestic bleach which has been widely used in Korea. Chemical burn by the domestic bleach is an unusual case. Methods: A 70 yrs old female soiled with stool, her husband wiped the mess with $YUHANROX^{(R)}$. Skin edema, erythematous lesion was developed the second day, and she was admitted to our hospital via emergency department. Results: Complete epithelization was done after 3 times STSG but, severe scar was formed. Conclusion: We report this case to warn about the dangers of domestic bleaches chemical substances and to emphasize that they should be used with caution. Public relation of the primary care of the chemical burn injury is needed.

• Journal of Trauma and Injury
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• 제19권2호
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• pp.173-177
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• 2006

Hydrofluoric acid is a colorless gas or fuming liquid with a strong, irritating odor. Hydrofluoric acid burns are uncommon; however, if severe burn occur, they caused death from systemic effects, such as fatal cardiac arrthmia. We experienced two cases of hydrofluoric acid chemical burns on digits. These patients had typical clinical features of hydrofluoric acid chemical burns, such as pulsating pain at the burn site, as well as ischemic and necrotic skin changes. The hydrofluoric acid chemical burn was confirmed by a history of exposure. Subsequently, we made a calcium gluconate gel by mixing 20% calcium gluconate, an antagonist against hydrofluoric acid, with lubricant, and we injected 10% calcium gluconate subcutaneously when they complained of pain rated at higher than 5 on the pain scale. Simultaneously, we monitored the patients' electrocardiographs and checked their serum total calcium, ionized calcium, and magnesium levels serially. Clinical presentations and the emergency management of hydrofluoric acid chemical burns were reviewed along with the current literature. These patients were discharged without any significant complications.

• Archives of Plastic Surgery
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• 제35권4호
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• pp.407-412
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• 2008

Purpose: Hydrofluoric acid(HF) is one of the most dangerous mineral acids with the dissociated fluoride ions. The initial corrosive burn is caused by free hydrogen ion, and the second and more severe burn is caused by penetration of fluoride ions into subcutaneous tissues. Silver is a cation producing dressing, an effective antimicrobial agent, but older silver-containing formulations are rapidly inactivated by wound environment, requiring frequent replenishment. But, $Acticoat^{(R)}$ is a relatively new form of silver dressing which helps avoid the problems of earlier agents. The aim of this study is to evaluate effects of $Acticoat^{(R)}$, silver-containing dressing on the treatment for HF injury wound. Methods: From september 2006 to september 2007, the study was carried out with 10 patients who had HF partial thickness burns. $Acticoat^{(R)}$ dressing and 10% calcium gluconate wet gauze dressings in 10 cases. As a principle, in the emergency treatment, partial or complete removal of the nail and early bullectomy along with copious washing with normal saline was done, depending on the degree of HF invasion of the wound. Wound was dressed with $Acticoat^{(R)}$ and 10% calcium gluconate solution. The effect of dressing was investgated by serial bacterial culture and wound exudates assessment. Results: We therefore reviewed 10 cases of HF-induced chemical burns and treatment principle. The 10 cases who came to the hospital nearly immediately after the injury healed completely without sequelae. Conclusion: As the industrial sector develops, the use of HF is increasing more and more, leading to increased incidences of HF-induced chemical burns. The education of patients regarding this subject should be empathized accordingly. In conclusion, $Acticoat^{(R)}$ dressing is a better choice for HF partial thickness burn injuries because of shorter healing time, less pain and more comfortable dressing.

• Restorative Dentistry and Endodontics
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• 제34권1호
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• pp.38-41
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• 2009

복합레진 수복을 위해 상아질에 total-etch adhesive system을 적용할 경우, 37% 인산 산부식제가 널리 사용되고 있다. 37% 인산은 매우 강력한 부식제로 구강점막이나 안면피부와 접촉되었을 때 심각한 해로운 효과가 발생될 수 있다. 이 증례 보고에서는 복합레진 수복과정에서 사용된 인산 산부식제에 의해 안면피부에 발생된 의원성 화학적 화상을 보고하고자 한다. 산부식제에 의한 화학적 화상은 산부식제를 부주의하고 부적절하게 사용함으로 발생될 수 있으며, 이러한 의원성 손상을 방지하기 위해서는 산부식과 수세과정 후 산부식제가 완전히 제거되었는지를 확인하여야하며, 복합레진 수복 시 러버댐이나 적절한 격리 기구를 사용하는 것이 필요할 것이다. 화상이 발생하였다면, 적절한 응급처치 후 피부과로 의뢰하는 것이 필요할 것이다.

• 대한화상학회지
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• 제22권2호
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• pp.53-57
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• 2019

Dichloromethane is widely used as a solvent in paint removers. Unlike inhalation injury, contact injury caused by dichloromethane is not well known. Two patients who had undergone skin grafting to treat chemical burn of the hand caused by dichloromethane exposure were evaluated, and a literature review was done. Two healthy men aged 37 and 40 years visited our hospital with chief complaints of pain on the hands due to dichloromethane exposure. The patients had not worn protective clothing. Multiple bullae were initially noted. On the next day, fluctuation in bullae and purulent discharge were observed, and central eschar change was noted. On the 18th day after the burn, escharectomy and full-thickness skin graft were performed. Therefore, workers who use dichloromethane should wear protective clothing at workplaces. If exposed to the chemical, the worker should be instructed to do a quick wash and visit the hospital.