Patten B M
Department of Neurology, Baylor College of Medicine, Houston, Texas.
Neurol Clin. 1992 Nov;10(4):1047-58.
Lightning and electrical injuries are similar in that both produce immediate tissue injury from burn and trauma induced by fall and both can arrest the heart and respiratory center. Immediate support of circulation and respiration is life-saving. Subsequently the nervous system may show signs of injury, and seizures, cerebral edema, and muscle and nerve lesions should be handled as the indications arise. Prevention of the injury is more effective than any postinjury treatment. Outdoors hikers and campers must take shelter to minimize their exposure; indoors properly installed equipment and attention to the relation of the equipment user to the electrical ground are the key elements in avoiding electrocution.
雷击伤和电击伤相似，二者都会因烧伤以及跌倒所致创伤造成即刻的组织损伤，且都可使心脏和呼吸中枢骤停。立即进行循环和呼吸支持可挽救生命。随后，神经系统可能会出现损伤迹象，应根据出现的指征处理癫痫、脑水肿以及肌肉和神经损伤。预防损伤比任何伤后治疗都更有效。在户外，徒步旅行者和露营者必须寻找遮蔽处，以尽量减少暴露；在室内，正确安装设备以及注意设备使用者与接地的关系是避免触电的关键因素。
