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高压电损伤后急性起病的四肢瘫并恢复

Acute-Onset Quadriplegia With Recovery After High-Voltage Electrical Injury.

作者信息

Delgadillo Daniel, Chapman Stephanie, Fahrenkopf Matthew P, Martin Matthew D

机构信息

From the *Michigan State University College of Human Medicine; †Plastic and Reconstructive Surgery Residency, Grand Rapids Medical Education Partners; and ‡Spectrum Health Regional Burn Center, Grand Rapids, MI.

出版信息

Ann Plast Surg. 2017 Nov;79(5):e33-e36. doi: 10.1097/SAP.0000000000001151.

DOI:10.1097/SAP.0000000000001151
PMID:28953517
Abstract

Although uncommon, electrical injuries are associated with significant morbidity and mortality. There have been several reports of neurological sequelae secondary to electrical injury; however, the neurophysiology is still not completely understood. These neurological complications pose the greatest risk for permanent disability. We present a case of acute-onset quadriplegia after high-voltage electrical injury without radiographic evidence. Two months after the injury, the patient went on to regain partial sensorimotor function. Only a few case reports in the literature exist describing neurological recovery after electrical burn-induced quadriplegia. These cases are reviewed.

摘要

尽管电击伤并不常见,但它会导致严重的发病率和死亡率。已有多篇关于电击伤继发神经后遗症的报道;然而,其神经生理学仍未被完全理解。这些神经并发症造成永久性残疾的风险最大。我们报告一例高压电击伤后急性起病的四肢瘫痪病例,影像学检查未发现证据。受伤两个月后,患者逐渐恢复了部分感觉运动功能。文献中仅有少数病例报告描述了电烧伤所致四肢瘫痪后的神经恢复情况。现对这些病例进行综述。

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