雷击伤的损伤、后遗症及治疗：瑞士一家创伤中心的10年经验
Injuries, sequelae, and treatment of lightning-induced injuries: 10 years of experience at a swiss trauma center.
作者信息
Pfortmueller Carmen A, Yikun Yang, Haberkern Monika, Wuest Erwin, Zimmermann Heinz, Exadaktylos Aristomenis K
机构信息
University Department of General Internal Medicine, Inselspital Bern, 3010 Bern, Switzerland.
出版信息
Emerg Med Int. 2012;2012:167698. doi: 10.1155/2012/167698. Epub 2012 May 13.
Principals. Lightning is one of the most powerful and spectacular natural phenomena. Lightning strikes to humans are uncommon but can cause devastating injuries. We analyzed lightning-related admissions to our emergency department from January 2000 to December 2010 to review and highlight the main features of lightning-related injuries. Methods. All data were collected prospectively and entered in the emergency department' database (Qualicare Switzerland) and retrospectively analyzed. Results. Nine patients with lightning-related injuries presented to our emergency department. Four were female, and five were male. The most common site of injury was the nervous system (6 out of 9 patients) followed by the cardiovascular system (5 out of 9 patients). The third most common injuries occurred to the skin (3 out of 9 patients). Four of the patients had to be hospitalized for further observation. Conclusion. Reports of lightning strikes and related injuries are scarce. The establishment of an international register would therefore benefit the understanding of their injury patterns and facilitate specific treatment.
负责人。闪电是最强大且壮观的自然现象之一。雷击人类的情况并不常见，但可能造成毁灭性伤害。我们分析了2000年1月至2010年12月期间因闪电相关原因入住我院急诊科的病例，以回顾并突出闪电相关损伤的主要特征。方法。所有数据均前瞻性收集并录入急诊科数据库（瑞士Qualicare），然后进行回顾性分析。结果。9例闪电相关损伤患者到我院急诊科就诊。4例为女性，5例为男性。最常见的损伤部位是神经系统（9例患者中有6例），其次是心血管系统（9例患者中有5例）。第三常见的损伤发生在皮肤（9例患者中有3例）。4例患者需住院进一步观察。结论。雷击及相关损伤的报告很少。因此，建立一个国际登记册将有助于了解其损伤模式并促进针对性治疗。
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