Çağlar Aykut, Ayvaz Adnan, Güzeçiçek Ahmet, Yildirim Ali, Karaarslan Utku, Babayiğit Aslan, Duman Murat
Division of Pediatric Neurology, Department of Pediatrics.
Department of Pediatrics.
Pediatr Emerg Care. 2018 Sep;34(9):661-664. doi: 10.1097/PEC.0000000000000832.
An electrical injury (EI) is an emergency that causes high morbidity and mortality each year. The aim of this study was to define the epidemiological, clinical, and laboratory factors that might predict severe patients and cardiac arrest in pediatric EI cases.
All of the patients' medical files were reviewed retrospectively through a 2-year period for the demographic, clinical, and laboratory findings. The patients were classified into the severe injury group or the mild injury group. The SPSS (Chicago, Ill) software was used to analyze the data.
Among the 38 patients, 18 patients (47.4%) were in the mild group, and 20 patients (52.6%) were in the severe group. Low-voltage injuries were observed in 35 (92.1%) of the patients. Most of the severe patients were injured with low voltage (75%) and in household settings (85%). Plug and sockets were the most observed source of the injuries in all of the patients, whereas water-related injuries were most prevalent in the severe group. The source of injury was different in the mild and severe groups (P = 0.009). In the severe group, 13 patients (34.2%) were resuscitated after cardiopulmonary arrest. In the multivariate analysis of the demographic data, the most predictive parameters for cardiac arrest and the clinical severity in EIs are the factors of electrical cables and water.
Electrical injuries are a significant concern in the pediatric population. Our results showed that low voltage and household electricity could cause morbidity and mortality.
电击伤（EI）是一种每年都会导致高发病率和高死亡率的急症。本研究的目的是确定可能预测小儿EI病例中重症患者和心脏骤停的流行病学、临床和实验室因素。
回顾性查阅所有患者两年期间的病历，以获取人口统计学、临床和实验室检查结果。将患者分为重伤组或轻伤组。使用SPSS（伊利诺伊州芝加哥）软件分析数据。
38例患者中，18例（47.4%）为轻伤组，20例（52.6%）为重伤组。35例（92.1%）患者观察到低电压损伤。大多数重症患者为低电压损伤（75%）且发生在家中（85%）。在所有患者中，插头和插座是最常见的致伤源，而与水相关的损伤在重症组中最为普遍。轻伤组和重伤组的致伤源不同（P = 0.009）。在重症组中，13例患者（34.2%）在心脏骤停后复苏。在对人口统计学数据的多变量分析中，EI中心脏骤停和临床严重程度的最具预测性的参数是电缆和水的因素。
电击伤是儿童群体中的一个重要问题。我们的结果表明，低电压和家用电力可导致发病和死亡。
