Glatstein Miguel M, Ayalon Itay, Miller Ehud, Scolnik Dennis
Division of Pediatric Emergency Medicine, Department of Pediatrics, Dana-Dwek Children's Hospital, Tel Aviv, Israel.
Pediatr Emerg Care. 2013 Jun;29(6):737-40. doi: 10.1097/PEC.0b013e318294dd64.
A retrospective review of all patients admitted between February 2004 and December 2009, with a diagnosis of burns associated with electrocution, was conducted at The Hospital for Sick Children, Toronto, Ontario, Canada. Data regarding type of electrocution and associated burns were collected. Of the 36 patients identified, 31 (86%) were shocked by electrical current, and 5 (14%) by lightning. Most burns associated with current were first degree (58%). The upper limbs, most frequently the wrist and arm (n = 23), were injured in 26 patients, and the lower limb in 2 patients, whereas 3 patients suffered multiple sites of injury. Twenty-eight patients were treated conservatively with dressings and minor surgical interventions such as debridement and primary repair. The remainder required excision and/or grafting. Fasciotomy and/or escharotomy were performed in 2 patients, and no one required amputation. Burns associated with electrical injuries remain a worldwide problem, responsible for considerable morbidity and mortality. They can usually be prevented through simple safety measures. An effective prevention program would help address this problem.
对2004年2月至2009年12月期间入住加拿大多伦多病童医院、诊断为触电相关烧伤的所有患者进行了回顾性研究。收集了有关触电类型和相关烧伤的数据。在确定的36例患者中，31例（86%）被电流电击，5例（14%）被闪电击中。与电流相关的烧伤大多为一度烧伤（58%）。26例患者上肢受伤，最常见的是手腕和手臂（n = 23），2例患者下肢受伤，3例患者多处受伤。28例患者接受了保守治疗，包括敷料和清创、一期修复等小手术干预。其余患者需要切除和/或植皮。2例患者进行了筋膜切开术和/或焦痂切开术，无人需要截肢。与电损伤相关的烧伤仍然是一个全球性问题，会导致相当高的发病率和死亡率。通常可以通过简单的安全措施来预防。有效的预防计划将有助于解决这一问题。
