Nizhu Lutfun Nahar, Hasan Md Jahidul, Rabbani Raihan
ICU, Medical Services, Square Hospitals Ltd., Dhaka, Bangladesh.
Clinical Pharmacy Services, Department of Pharmacy, Square Hospitals Ltd., Dhaka, Bangladesh.
Trauma Case Rep. 2019 Nov 27;25:100267. doi: 10.1016/j.tcr.2019.100267. eCollection 2020 Feb.
Electrocution is a common cause of mild to severe multisystem injuries leading to high rate of mortality and morbidity. Low to high-voltage injury may be clinically manifested from a simple unpleasant sensation to multiple soft tissue injury which may cause instant death. The severity of injury depends on intensity of the electrical current, voltage of the source, resistance in the victims' body and the duration of the contact.
A 20-year-old young male experienced with an accidental high-voltage electrocution injury from a blasted electrical transformer while passing across the road. He lost his consciousness and immediately hospitalized. Bilateral pulmonary infiltrates and right cerebellar hemorrhage with fractures in anterior and posterior arch of the first cervical vertebrae (C1) were diagnosed, and there was no history of electrical burn. He stayed in hospital for three days and completely treated with initial oxygen supplementation and immobilization of his head and neck with a Philadelphia collar for 6 weeks. Electrocution is a serious public health concern and reported worldwide with few fatal ending. Accidental high-voltage electrocution injury is a serious type of unfortunate accidental injuries which in most of times, ends with immediate or delayed sequelae or even death. In this case, the victim with high-voltage-associated electrical injuries in his lungs and brain was completely recovered because of early hospitalization.
Electrocution injury is an accidental event with high mortality and morbidity rate. Mild to severe electrical current-induced injuries including burn can be treated successfully in most of the cases, but early hospitalization is highly required.
触电是导致轻度至重度多系统损伤的常见原因，可导致高死亡率和发病率。低电压至高电压损伤的临床表现可能从简单的不适感至多处软组织损伤，甚至可能导致即刻死亡。损伤的严重程度取决于电流强度、电源电压、受害者身体的电阻以及接触时间。
一名20岁年轻男性在过马路时意外遭受爆炸的变压器的高电压触电伤害。他失去意识并立即住院。诊断为双侧肺浸润、右小脑出血以及第一颈椎（C1）前后弓骨折，且无电烧伤史。他住院三天，最初给予吸氧治疗，并使用费城颈托固定头颈部6周。触电是一个严重的公共卫生问题，在全球范围内均有报道，致死结局较少。意外高电压触电伤害是一种严重的不幸意外伤害类型，大多数情况下会导致即刻或延迟的后遗症甚至死亡。在此病例中，因早期住院，肺部和脑部遭受高电压相关电损伤的受害者完全康复。
触电伤害是一种死亡率和发病率较高的意外事件。大多数情况下，包括烧伤在内的轻度至重度电流所致损伤均可成功治疗，但急需早期住院治疗。
