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阿尔巴尼亚一家三级医院中的电烧伤及其治疗

Electrical Burns and Their Treatment in a Tertiary Hospital in Albania.

作者信息

Zikaj Gentian, Xhepa Gezim, Belba Gjergji, Kola Nardi, Isaraj Sokol

机构信息

Institute of Public Health - Epidemiology and Biostatistics, 80 Aleksander Moisiu Str, Tirana, Albania.

Department of Morphology, Clinic of Plastic and Burn Surgery, University Hospital Center "Mother Teresa", Faculty of Medicine, Tirana, Albania.

出版信息

Open Access Maced J Med Sci. 2018 May 18;6(5):835-838. doi: 10.3889/oamjms.2018.206. eCollection 2018 May 20.

DOI:10.3889/oamjms.2018.206
PMID:29875855
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5979827/
Abstract

INTRODUCTION

The electrical current burns represent a very aggressive pathology that leaves many functional and aesthetic consequences.

AIM

To evaluate the epidemiology of electrical burn injury and its associated complications and treatment.

MATERIAL AND METHODS

Demographic data, aetiology, burn percentage and other measures related to electrical burn injury of 33 electrical burn patients in a tertiary hospital during the years 2015-2017.

RESULTS

The mean age of patients is 31 (± 8.3) years old with a predominance of males (94%). The vast majority of injuries occurred at work (p < 0.01), superior extremities were more affected with hand (21.2%) and fingers (18.2%) being the main point of contact (p < 0.01). Muscular fasciotomy was performed in all patients who were treated surgically (n = 27), amputation was performed in 11 (40.7%) of cases, but amputated sites were more than the number of patients affected. Myoglobinuria (39.4%), cardio-respiratory distress (12.1%) contusion cerebri (6.1%), were the complication encountered in patients.

CONCLUSIONS

Electrical burn injuries are still amongst the highest accident-related morbidities. Educating the population about the dangers and hazards associated with improper use of electrical devices and instruments is imperative.

摘要

引言

电流烧伤是一种极具侵袭性的病理状况,会导致诸多功能和美观方面的后果。

目的

评估电烧伤的流行病学情况及其相关并发症与治疗方法。

材料与方法

收集了2015 - 2017年间一家三级医院33例电烧伤患者的人口统计学数据、病因、烧伤面积及其他与电烧伤相关的指标。

结果

患者的平均年龄为31(±8.3)岁,男性占主导(94%)。绝大多数损伤发生在工作期间(p < 0.01),上肢受影响更严重,手部(21.2%)和手指(18.2%)是主要接触部位(p < 0.01)。所有接受手术治疗的患者(n = 27)均进行了筋膜切开减压术,11例(40.7%)患者进行了截肢,但截肢部位数量多于受影响患者数量。患者出现的并发症包括肌红蛋白尿(39.4%)、心肺窘迫(12.1%)、脑挫伤(6.1%)。

结论

电烧伤仍是与事故相关的最高发病情况之一。必须对公众进行关于不当使用电气设备和仪器所带来的危险和危害的教育。

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