Tirasci Yasar, Goren Suleyman, Subasi Mehmet, Gurkan Fuat
Department of Forensic Medicine, Dicle University, Diyarbakir, Turkey.
Tohoku J Exp Med. 2006 Feb;208(2):141-5. doi: 10.1620/tjem.208.141.
Electrical burns are responsible for considerable morbidity and mortality, and are usually preventable with simple safety measures. We conducted a retrospective study of non-lightening electrocution deaths in Diyarbakir, Turkey between 1996 and 2002. All 123 deaths investigated were accidental. The age range was 2 to 63 years with a mean age of 20.7 +/- 15.3 years. Eighty-six victims (69.9%) were male. The upper extremity was the most frequently involved contact site in 96 deaths (48%). No electrical burn mark was present in 14 (11.4%) cases. Home accidents were responsible for 56 cases deaths (45.5%). Deaths were caused most frequently by touching an electrical wire (52 cases, 42.3%). There was an increase in electrocution deaths in the summer (47 cases, 38.2%). One hundred one cases (82.1%) were dead on arrival at hospital. The unique findings of our study include younger age (0-10 years) of victims (39 cases, 31.7%) and a means of electrocution (electrical water heaters in bathroom) in 23 cases (18.7%). Rate of deaths due to electrocution among all medicolegal deaths was found higher in our study than in previous studies. The public should be educated to prevent children to play near electrical appliances and to avoid electrical heaters in the bathroom.
电烧伤会导致相当高的发病率和死亡率,通常采取简单的安全措施即可预防。我们对1996年至2002年土耳其迪亚巴克尔非雷击触电死亡情况进行了一项回顾性研究。所有123例被调查的死亡均为意外事故。年龄范围为2至63岁,平均年龄为20.7±15.3岁。86名受害者(69.9%)为男性。在96例死亡(48%)中,上肢是最常涉及的接触部位。14例(11.4%)病例没有电烧伤痕迹。家庭事故导致56例死亡(45.5%)。死亡最常见的原因是触碰电线(52例,42.3%)。夏季触电死亡人数有所增加(47例,38.2%)。101例(82.1%)患者在抵达医院时已死亡。我们研究的独特发现包括受害者年龄较小(0至10岁)(39例,31.7%)以及23例(18.7%)触电方式(浴室中的电热水器)。我们的研究发现,在所有法医学死亡中,触电致死率高于以往研究。应该对公众进行教育,防止儿童在电器附近玩耍,并避免在浴室使用电热水器。