Abbas A D, Dabkana T M, Tahir C, Naaya H U
Department of Orthopaedics/Trauma, University of Maiduguri Teaching Hospital, Maiduguri, Bomo State, Nigeria.
Ann Burns Fire Disasters. 2009 Sep 30;22(3):160-2.
High-tension electrical burns are a rare but devastating form of injury. The objective of this case report is to bring to the fore the severity of this rare form of injury and highlight the benefits of active surgical management of such a condition. We report the cases of two patients who were managed for high-tension electrical burns and highlight the main features of their presentation and management. Both patients needed urgent resuscitation and subsequent multiple amputations and disarticulations to save their lives. In high-tension electrical burns early resuscitation and wound exploration coupled with decisive action on the need for amputation would reduce the morbidity and mortality often associated with the ensuing overwhelming sepsis.
高压电烧伤是一种罕见但极具破坏性的损伤形式。本病例报告的目的是凸显这种罕见损伤形式的严重性,并强调对此类病症积极进行手术治疗的益处。我们报告了两名接受高压电烧伤治疗患者的病例,并突出了他们的临床表现和治疗的主要特点。两名患者均需要紧急复苏,随后进行多次截肢和关节离断术以挽救生命。对于高压电烧伤,早期复苏和伤口探查,以及对截肢必要性采取果断行动,将降低通常与随之而来的严重脓毒症相关的发病率和死亡率。