Elena-Sorando E, Galeano-Ricaño N, Agulló-Domingo A, Cimorra-Moreno G, Gil-Castillo C
Department of Plastic and Reconstructive Surgery and Burns Centre, Miguel Servet Hospital, Zaragoza, Spain.
Ann Burns Fire Disasters. 2006 Mar 31;19(1):44-6.
The case is presented of a golfer who was struck by lightning while playing golf during a thunderstorm. The patient was found lying unconscious on wet grass with his clothes scorched and his spiked golf shoes torn. He had suffered dermal burns affecting the neck, thorax, abdomen, and upper and lower limbs (10% total body surface area), without any cardiovascular or respiratory disturbances. It may be hypothesized that the lightning current went over the outside of the patient, causing ignition of his clothes. Treatment included monitoring, adequate fluid management, debridement, and topical treatment (silver sulphadiazine). Complete healing of the wounds was achieved in two weeks. After three years' follow-up, the patient had no sequelae.
本文介绍了一名高尔夫球手的病例，他在雷雨中打高尔夫球时遭雷击。患者被发现昏迷在潮湿的草地上，衣服烧焦，带钉高尔夫鞋破损。他有颈部、胸部、腹部以及上肢和下肢的皮肤烧伤（占全身表面积的10%），没有任何心血管或呼吸方面的紊乱。可以推测闪电电流从患者身体外部通过，导致其衣服着火。治疗包括监测、适当的液体管理、清创和局部治疗（磺胺嘧啶银）。伤口在两周内完全愈合。经过三年随访，患者无后遗症。
