Milzman D P, Moskowitz L, Hardel M
Department of Emergency Medicine, Providence Hospital, Washington, DC 20017, USA.
South Med J. 1999 Jul;92(7):708-10. doi: 10.1097/00007611-199907000-00010.
Among natural disasters, lightning is a leading cause of morbidity and mortality throughout the world. A well-informed bystander and an astute physician can make the difference between an outcome of death or lifelong disability versus complete or near-complete recovery. What is done in the first few minutes after such an event is the predominant predictor of success. This case report describes a young woman who was struck by lightning while talking on a cellular telephone at a mass gathering in an outdoor stadium. The discussion that follows the case centers on the pathophysiology of being struck by lightning and on issues unique to being struck in a stadium full of people.
在自然灾害中，闪电是全球发病和死亡的主要原因之一。一个见多识广的旁观者和一位敏锐的医生能够决定最终结果是死亡或终身残疾，还是完全康复或近乎完全康复。此类事件发生后的最初几分钟内采取的措施是成功的主要预测因素。本病例报告描述了一名年轻女性，她在室外体育场的一次大型集会上打电话时遭雷击。病例后的讨论集中在雷击的病理生理学以及在满是人的体育场中遭雷击所特有的问题上。
