Christophides Theodoros, Khan Sarosh, Ahmad Mahmood, Fayed Hossam, Bogle Richard
Barts Heart Centre, St Bartholomew's Hospital, Barts Health NHS Trust, London.
Epsom & St Helier University Hospitals NHS Trust, Carshalton, Surrey.
Arrhythm Electrophysiol Rev. 2017 Aug;6(3):114-117. doi: 10.15420/aer.2017:7:3.
Lightning strikes are a common and leading cause of morbidity and mortality. Multiple organ systems can be involved, though the effects of the electrical current on the cardiovascular system are one of the main modes leading to cardiorespiratory arrest in these patients. Cardiac effects of lightning strikes can be transient or persistent, and include benign or life-threatening arrhythmias, inappropriate therapies from cardiac implantable electronic devices, cardiac ischaemia, myocardial contusion, pericardial disease, aortic injury, as well as cardiomyopathy with associated ventricular failure. Prolonged resuscitation can lead to favourable outcomes especially in young and previously healthy victims.
雷击是发病和死亡的常见且主要原因。多个器官系统可能受累，尽管电流对心血管系统的影响是导致这些患者心肺骤停的主要方式之一。雷击对心脏的影响可能是短暂的或持续的，包括良性或危及生命的心律失常、心脏植入式电子设备的不适当治疗、心肌缺血、心肌挫伤、心包疾病、主动脉损伤以及伴有相关心室衰竭的心肌病。延长复苏时间可带来良好预后，尤其是对于年轻且既往健康的受害者。
