油性塗料による創部汚染を伴った口腔顔面裂創の1例

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  • A case of oral and facial lacerated wounds exposed to organic solvent-based paint
  • ユセイ トリョウ ニ ヨル ソウブ オセン オ トモナッタ コウクウ ガンメンレッソウ ノ 1レイ

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We describe the clinical features of a case of oral and facial lacerated wounds exposed to the organic solvent-based paint.<br>A 58-year-old man fell into an organic solvent-based paint storage tank while at work and sustained oral and facial lacerated wounds. The white paint contaminated his whole body, including the facial wound. He was taken to an emergency room by an ambulance immediately after the accident. The wound contaminated by the chemicals was sutured after cleaning with a large amount of saline. It was not associated with central nervous system damage or digestive and respiratory system damage. He experienced severe ocular pain and eye-opening disorder in both eyes. An ophthalmic surgeon diagnosed corneal ulcers and immediately irrigated the eyes with saline. To prevent infection and chemical injury, an antibiotic was given, and irrigation was continued. He was discharged on the 7th day after the injury because wound healing was acceptable. Outpatient hospital visits were ended 7 months after the injury because there were no more functional or aesthetic problems.<br>In patient with lacerated wounds exposed to chemicals, the tissue damage depends on factors such as the type of chemicals, the concentration, the quantity, the exposure time, and the temperature. Special attention should be given to oculary injuries and central nervous system damage, besides the wound.

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