Stueland D T, Stamas P, Welter T M, Cleveland D A
Section of Emergency Medicine, Department of Medicine, Marshfield Clinic/St. Joseph's Hospital, Wisconsin 54449.
J Emerg Med. 1989 Sep-Oct;7(5):457-9. doi: 10.1016/0736-4679(89)90144-3.
Various injuries have been attributed to electrical injury. Low voltage current, especially alternating current, can lead to sustained muscular contraction and subsequent fracture of adjacent bones or dislocation of affected joints. We present the case of a 57-year-old male who suffered electrical injury from hand to hand. He did suffer bilateral humeral head fractures but did not suffer cardiac or long-term neurologic injury. Failure to recognize that sustained muscular contraction can lead to fracture or dislocation can result in delayed diagnosis and inappropriate therapy. However, with prompt diagnosis and appropriate therapy, morbidity can be minimized.
多种损伤被归因于电击伤。低电压电流,尤其是交流电,可导致肌肉持续收缩,进而导致相邻骨骼骨折或受影响关节脱位。我们报告一例57岁男性手部至手部电击伤的病例。他确实双侧肱骨头骨折,但未发生心脏或长期神经损伤。未能认识到肌肉持续收缩可导致骨折或脱位会导致诊断延迟和治疗不当。然而,通过及时诊断和适当治疗,可将发病率降至最低。