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[电灼意外]

[Accidents of fulguration].

作者信息

Virenque C, Laguerre J

出版信息

Anesth Analg (Paris). 1976 Sep-Oct;33(5):775-84.

PMID:1008283
Abstract

Fulguration, first electric accident in which the man was a victim, is to day better known. A clap of thunder is decomposed in two elements: lightning, and thunder. Lightning is caused by an electrical discharge, either within a cloud, or between two clouds, or, above all, between a cloud and the surface of the ground. Experimental equipments owned by the French Electricity Company and by the Atomic Energy Commission, have allowed to photograph lightnings and to measure certain physical characteristics (Intensity variable between 25 to 100 kA, voltage variable between 20 to 1 000 kV). The frequency of storms was learned: the isokeraunic level, in France, is about 20, meaning that thunder is heard twenty days during one year. Man may be stricken by thunder by direct hit, by sudden bursting, by earth current, or through various conductors. The electric charge which reached him may go to the earth directly by contact with the ground or may dissipate in the air through a bony promontory (elbow). The total number of victims, "wounded" or deceased, is not now known by statistics. Death comes by insulation breakdown of one of several anatomic cephalic formations: skull, meninx, brain. Many various lesions may happen in survivors: loss of consciousness, more or less long, sensorial or motion deficiencies. All these signs are momentary and generally reversible. Besides one may observe much more intense lesions on the skin: burns and, over all, characteristic aborescence (skin effect by high frequency current). The heart is protected, contrarily to what happens with industrial electrocution. The curative treatment is merely symptomatic : reanimation, surgery for burns or associated traumatic lesions. A prevention is researched to help the lonely man, in the country or in the mountains in the houses (lightning conductor, Faraday cage), in vehicles (aircraft, cars, ships). The mysterious and unforseeable character of lightning still stays, leaving a door opened for numerous investigations.

摘要

电灼术,即人类首次成为受害者的电气事故,如今已广为人知。一声惊雷可分解为两个要素:闪电和雷声。闪电是由云层内部、两片云层之间,或者最重要的是云层与地面之间的放电引起的。法国电力公司和原子能委员会拥有的实验设备,已能够拍摄闪电并测量某些物理特性(强度在25至100千安之间变化,电压在20至1000千伏之间变化)。人们了解到了风暴的频率:在法国,等雷暴日水平约为20,这意味着一年中有20天会听到雷声。人可能会因直接击中、突然爆发、地电流或通过各种导体而遭受雷击。到达人体的电荷可能通过与地面接触直接导入大地,或者通过骨突(肘部)在空气中消散。目前,统计数据中尚不清楚“受伤”或死亡的受害者总数。死亡是由于头部几个解剖结构之一的绝缘破坏所致:颅骨、脑膜、大脑。幸存者可能会出现许多不同的损伤:或多或少较长时间的意识丧失、感觉或运动功能缺陷。所有这些症状都是暂时的,通常是可逆的。此外,人们还可能在皮肤上观察到更严重的损伤:烧伤,尤其是典型的树枝状斑纹(高频电流对皮肤的影响)。与工业触电不同的是,心脏受到了保护。治疗仅仅是对症治疗:复苏、治疗烧伤或相关创伤性损伤的手术。人们正在研究预防措施,以帮助在乡村或山区独居房屋中的人(安装避雷针、法拉第笼),以及在车辆(飞机、汽车、轮船)中的人。闪电的神秘和不可预测性仍然存在,为众多研究留下了一扇敞开的大门。

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