Kym D, Seo D K, Hur G Y, Lee J W
Department of Surgery, Burn Center, Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea.
Department of Plastic and Reconstructive Surgery, Burn Center, Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea
Scand J Surg. 2015 Jun;104(2):108-14. doi: 10.1177/1457496914534209. Epub 2014 May 7.
Electrical burns are uncommon, but they result in high morbidity and mortality due to severe tissue damage. The purpose of this study is to analyze epidemiological variables of electrical injuries and identify preventable measures through them.
We retrospectively analyzed the clinical records of 625 patients admitted to Hangang Sacred Heart Hospital's Department of Plastic Surgery from January 2005 to December 2011. We divided the patients into two groups: (1) low-voltage injury (under 1000 V) and (2) high-voltage injury (over 1000 V). We reviewed the following variables: age, sex, total burn surface area, injury type and mode, and surgical modalities.
The mean age of all patients was 33.4 ± 18.2 years. The ratio of males to females was 13.5 in the whole group. The mean total body surface are burned was 14.0% ± 13.8% in total. The majority of electrical burns in the low-tension group and high-tension group occurred in patients under 20 years and in patients aged 40-59 years, respectively. Steel chopstick insertions and high-voltage electrical work/repair were the most common injury modes in the low-tension group and the high-tension group, respectively. Groin and abdominal distant flap surgeries were commonly performed in both groups. It is recommended that these risks be prevented through education and safety measures to reduce the incidence of electrical injuries.
电烧伤并不常见，但由于严重的组织损伤，其导致的发病率和死亡率很高。本研究的目的是分析电损伤的流行病学变量，并通过这些变量确定可预防的措施。
我们回顾性分析了2005年1月至2011年12月期间在汉江圣心医院整形外科住院的625例患者的临床记录。我们将患者分为两组：（1）低电压损伤（低于1000V）和（2）高电压损伤（高于1000V）。我们审查了以下变量：年龄、性别、烧伤总面积、损伤类型和方式以及手术方式。
所有患者的平均年龄为33.4±18.2岁。全组男女比例为13.5。总的来说，平均全身烧伤面积为14.0%±13.8%。低电压组和高电压组的大多数电烧伤分别发生在20岁以下的患者和40 - 59岁的患者中。低电压组和高电压组最常见的损伤方式分别是钢筷子插入和高压电气作业/维修。两组均常进行腹股沟和腹部远位皮瓣手术。建议通过教育和安全措施预防这些风险，以降低电损伤的发生率。
