电击伤后可逆性扩张型心肌病：一例报告
Reversible dilative cardiomyopathy after electrical injury: a case report.
作者信息
Liodaki Eirini, Galati Virginia, Bethge Martin, Göpel Wolfgang, Mailaender Peter, Stang Felix
机构信息
Department of Plastic, Hand Surgery and Burn Care Unit, University Hospital Schleswig-Holstein, Campus Lübeck, Ratzeburger Alle 160, Lübeck, Germany.
Pediatric Cardiology, Paracelcus Health Center, Lübeck, Germany.
出版信息
J Med Case Rep. 2018 Nov 8;12(1):333. doi: 10.1186/s13256-018-1861-2.
BACKGROUND
Dilative cardiomyopathy is an uncommon cardiac complication of electric shock.
CASE PRESENTATION
We report a case of a 12-year-old German boy with a high voltage injury who developed a four-chamber dilative cardiomyopathy, which was diagnosed on the 13th week postburn. One year after the accident, echocardiography showed a normal function of his heart with 64% ejection fraction and normal cavities' dimensions.
CONCLUSIONS
Despite the fact that dilative cardiomyopathy is not very common in electrical injuries but can be fatal, a prolonged echocardiography follow-up for patients with electrical injury could be recommended. Until now this case is the first child with severe burns after electrocution, who developed a reversible dilative cardiomyopathy.
背景
扩张型心肌病是电击伤罕见的心脏并发症。
病例报告
我们报告一例12岁德国男孩，因高压电损伤发生四腔扩张型心肌病，于烧伤后第13周确诊。事故发生一年后，超声心动图显示其心脏功能正常，射血分数为64%，心腔大小正常。
结论
尽管扩张型心肌病在电损伤中并不常见，但可能致命，建议对电损伤患者进行长期超声心动图随访。截至目前，该病例是首例电击伤后严重烧伤并发生可逆性扩张型心肌病的儿童。
Zotero 插件