Shaha Kusa Kumar, Joe A Edwin
Department of Forensic Medicine, PSG Institute of Medical Science and Research, Coimbatore, Tamil Nadu 641004, India.
Med Sci Law. 2010 Apr;50(2):72-4. doi: 10.1258/msl.2010.010008.
Electrical injuries currently remain a worldwide problem. These injuries are responsible for considerable morbidity and mortality, but are usually preventable with simple safety measures. A retrospective study was undertaken of deaths due to electrocution that occurred over a five-year period from January 2002 to December 2006. The bodies were autopsied at the Department of Forensic Medicine, Coimbatore Medical College and Hospital, Coimbatore, Tamil Nadu, India. A total of 118 cases were identified and all were accidental: 107 males (91%) and 11 females (9%) (male:female ratio = 9.72). The majority of deaths occurred in the 21-30 year age group (n = 57, 48%). Most deaths (n = 98; 83%) were due to low-voltage circuits (< 1000 V); a minority were due to high voltages (n = 20, 17%). Domestic accidents were responsible in 73 cases (61.86%). Deaths were caused most frequently by touching an electric wire (n = 62; 52.54%). Most deaths occurred in the summer (n = 50; 42%) with the lowest number of deaths occurring in winter. There was no electrical contact mark present in eight cases (6.7%). One hundred and four cases (88%) were dead on arrival at hospital. The most common cause of death was cardiac arrest, followed by septicaemia and renal failure. Congestion of the brain and oedematous lungs were frequent non-specific postmortem findings.
目前,电击伤仍是一个全球性问题。这些损伤导致了相当高的发病率和死亡率,但通常通过简单的安全措施即可预防。对2002年1月至2006年12月这五年间因触电死亡的案例进行了一项回顾性研究。尸体在印度泰米尔纳德邦哥印拜陀市哥印拜陀医学院和医院法医学系进行解剖。共识别出118例案例,均为意外事故:107例男性(91%)和11例女性(9%)(男女比例=9.72)。大多数死亡发生在21至30岁年龄组(n=57,48%)。大多数死亡(n=98;83%)是由低压电路(<1000V)导致的;少数是由高压导致的(n=20,17%)。73例(61.86%)是家庭事故所致。最常见的死亡原因是触电(n=62;52.54%)。大多数死亡发生在夏季(n=50;42%),冬季死亡人数最少。8例(6.7%)没有电接触痕迹。104例(88%)在到达医院时已死亡。最常见的死亡原因是心脏骤停,其次是败血症和肾衰竭。大脑充血和肺部水肿是常见的非特异性尸检结果。