Bell A F, Shagets F W, Barrs D M
Otolaryngol Head Neck Surg. 1986 Apr;94(4):504-7. doi: 10.1177/019459988609400417.
Electrocautery is used extensively in otolaryngology--head and neck surgery. Its commonplace use and excellent safety record may lull the surgeon from heeding the device's potential dangers. User error causes the majority of patient injuries. A thorough understanding of the electrophysical principles and hazards is essential for even the occasional user. Three cases of electrosurgical injury are reported to demonstrate problem areas in electrocautery usage. The basic electrophysical properties are described, and guidelines for prevention of injury to the patient are reviewed.
电灼术在耳鼻咽喉头颈外科中广泛应用。其常见的使用方式和出色的安全记录可能会使外科医生忽视该设备的潜在危险。大多数患者损伤是由用户错误导致的。即使是偶尔使用该设备的人员,全面了解其电物理原理和危险也是至关重要的。本文报告了三例电外科损伤病例,以说明电灼术使用中的问题所在。文中描述了基本的电物理特性,并对预防患者损伤的指南进行了综述。