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电烧伤:五年经验——1985年埃文斯讲座

Electrical burns: a five-year experience--1985 Evans lecture.

作者信息

Haberal M

出版信息

J Trauma. 1986 Feb;26(2):103-9. doi: 10.1097/00005373-198602000-00001.

Abstract

Ninety-four electrical burn patients were treated in a 5-year period at our center. The majority of these patients were males, in both children and adults, with the cause of injury mainly due to misuse, inattentiveness, lack of knowledge, and lack of parental supervision. Two major complications were encountered: musculoskeletal (37.3%), which required major amputations in 71.42%; and acute renal failure in 18.08%. Despite treatment with peritoneal and/or hemodialysis, the mortality rate in these series was quite high (58.82%). In order to decrease these complications, a closer monitoring of the patient and early surgical decompression must be applied. Therefore, to prevent this life-threatening event, measures should be taken by health-care officials and physicians to help educate the public in electrical burn prevention through every available means of communication.

摘要

在我们中心的5年时间里,共治疗了94例电烧伤患者。这些患者大多数为男性,涵盖儿童和成人,受伤原因主要是误用、疏忽、知识缺乏以及家长监管缺失。出现了两种主要并发症:肌肉骨骼并发症(37.3%),其中71.42%的患者需要进行大截肢;急性肾衰竭占18.08%。尽管采用了腹膜透析和/或血液透析治疗,但这些病例的死亡率相当高(58.82%)。为了减少这些并发症,必须对患者进行更密切的监测并尽早进行手术减压。因此,为防止这一致命事件,卫生保健官员和医生应采取措施,通过各种可用的沟通方式帮助公众了解电烧伤预防知识。

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