Haberal M, Oner Z, Gülay H, Bayraktar U, Bilgin N
Hacettepe University Hospital Burn Center, Ankara, Turkey.
Burns Incl Therm Inj. 1989 Feb;15(1):60-3. doi: 10.1016/0305-4179(89)90075-2.
From January 1979 to January 1987, 125 patients were treated in our Centre for various electrical injuries. Among them, 85 patients were over 15 years of age (89.4 per cent were males and 10.6 per cent females) and 40 patients were below 15 years of age (92.5 per cent were males and 7.5 per cent females). Electricians were the most frequently injured in the over 15-year-old age-group, whereas most patients under 15 years old were students. We focused our study on five patients with multiple and severe electrical injury. Two of these patients were injured while erecting TV aerials, two were injured at work and the other one was working on a house roof. Despite all our efforts extensive limb amputations were required. Following complete healing, we fitted prostheses to the amputation stumps. All the patients have now returned to society as capable individuals, two of them to their previous occupations and the other three with new occupations. Our experience with five patients showed that patients with severe electrical injury and multiple amputations have a reasonable chance of recovery. Rehabilitation therapy must be given as early as possible after the electrical injury so that the patients may return to their normal place in society.
1979年1月至1987年1月，我们中心共收治了125例因各种电击伤前来就诊的患者。其中，85例患者年龄超过15岁（男性占89.4%，女性占10.6%），40例患者年龄低于15岁（男性占92.5%，女性占7.5%）。在15岁以上的年龄组中，电工是最常受伤的群体，而15岁以下的患者大多是学生。我们重点研究了5例多处严重电击伤患者。其中2例患者在安装电视天线时受伤，2例在工作时受伤，另1例在屋顶作业时受伤。尽管我们竭尽全力，但仍需要进行广泛的肢体截肢。伤口完全愈合后，我们为截肢残端安装了假肢。现在，所有患者都已作为有能力的个体重返社会，其中2人恢复了原来的工作，另外3人从事了新的职业。我们对5例患者的治疗经验表明，严重电击伤并多处截肢的患者有合理的康复机会。电击伤后必须尽早给予康复治疗，以便患者能够重返社会，恢复正常生活。
