Vulvar burns, scalds and chemical injuries
Introduction
Introduction to burn wounds, burns and chemical damage basic knowledge The proportion of illness: 0.0002% Susceptible people: no special people Mode of infection: non-infectious Complications: bacteremia, sepsis, urethral stricture, incontinence, rectal prolapse
Cause
Causes of burns, burns and chemical damage in vulva
Prevention
Vulvar burns, burns and chemical damage prevention
Complication
Complications of burn wounds, burns and chemical damage Complications bacteremia sepsis urethral stricture fecal incontinence rectal prolapse
Early complications
(1) Mortality: The American Burn Association counted patients with perineal burns, with a mortality rate of 67%. Most patients did not die from genitourinary tract complications.
(2) Infection: a large area of burns, genital flora imbalance and long-term urethral indwelling cause vulvar infection, urinary tract infection, bacteremia and sepsis, urine culture should be routinely performed, and the catheter should be replaced once a week. To minimize the time of indwelling catheters, Mcdougal found that 72% of patients with perineal burns had positive urine culture, and the same bacteria were cultured in the blood of 50% of patients.
(3) Damage to surrounding structures: direct and indirect damage to the bladder, rectum and pelvic bones.
2. Late complications
(1) genital scar formation: genital burns can cause changes in the quality of the vulva skin, causing changes in the humidity and pigmentation of the vulva, causing vulvar deformities, affecting excretion and sexual life.
(2) vulvar contraction: a common complication of vulvar burn is contraction, which affects the development of the child. 60% of the burned children reported by Alghanem have vulvar contractions, need to be loosened, and use local flaps or skin grafts to loosen and contract. Rejuvenation of the genital organs, vaginal contraction should be placed vaginal or surgical release, scar tissue resection, skin graft or flap for vaginal reconstruction, Weibel reported genital burns survived, most of the different degrees of vaginal narrow.
(3) urethral stricture: due to stenosis of the external urethra caused by difficulty in urinating, surgical release is required.
(4) rectal stenosis: can cause long-term difficulty in defecation, fecal incontinence, should be dilated and scar resection.
(5) rectal prolapse: about 5% of children with perineal burns have rectal prolapse, the main reason is perineal malnutrition.
(6) The psychological impact: malformation of the vulva, pain, difficulty in defecation and loss of sexual function caused great harm to the patient's self-confidence. Gottlieb reported that 25% of patients lost their sexual desire or orgasm.
Symptom
Vulvar burns, burns and chemical damage symptoms Common symptoms Contracture scars, severe pain, allergies, abdominal pain, fecal incontinence, erythema burn, vaginal atresia, eschar burn, skin necrosis and congestion
Examine
Examination of burns, burns and chemical damage of the vulva
Diagnosis
Diagnosis and diagnosis of burn wounds, burns and chemical damage
