Thomas Joseph, Sreekumar N C, Shankar Chandni, James Alphy
Department of Plastic Surgery, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
World J Plast Surg. 2020 Jan;9(1):14-21. doi: 10.29252/wjps.9.1.14.
Electrical burns, although less prevalent, are devastating injuries and are associated with high morbidity and mortality. This study assessed the socio-demographic characteristics, complications, surgical interventions and outcomes among electrical burn victims.
From 2013 to 2018, patients who suffered from electric burns and were admitted to Burns Unit, Department of Plastic Surgery, Kasturba Hospital, Manipal, India were enrolled. The demographic data, as well as details regarding mode of injury, percentage of burns, specific areas injuries, complications, surgical treatment options utilized and treatment outcomes were recorded using a semi-structured questionnaire. The patients were followed up till 3 months post discharge.
The majority of electrical burn victims were men (99.0%) and were in the age group of 18-40 years (70.4%). Unskilled labourers (56.8%) were most commonly affected followed by employed linemen or electricians (29.6%) and farmers (11.1%). Highest proportion (81.0%) had involvement of less than 20% of their total body surface area. Occurrence of infections (41.9%) was the most common complication. Myoglobinuria (19.7%), amputations (18.5%), compartment syndrome (14.8%), and peripheral nerve injuries (13.5%) were recorded. Totally, 18.5% were reported with certain complications, 9.9% of them required neurosurgical interventions and 3.7% required active psychiatric interventions.
Most of the young men in their economically productive age group were affected with electrical burn injuries. Ensuring the work safety measures and education about the dangers and hazards associated with electrical equipment and infrastructure as well as their proper handling are vital.
电烧伤虽不如其他烧伤常见，但却是极具破坏性的损伤，且发病率和死亡率都很高。本研究评估了电烧伤受害者的社会人口学特征、并发症、手术干预措施及预后情况。
纳入2013年至2018年间因电烧伤入住印度马尼帕尔卡斯图尔巴医院整形外科烧伤科的患者。使用半结构化问卷记录人口统计学数据，以及受伤方式、烧伤百分比、特定部位损伤、并发症、所采用的手术治疗方案和治疗结果等详细信息。对患者进行随访，直至出院后3个月。
电烧伤受害者大多为男性（99.0%），年龄在18 - 40岁之间（70.4%）。非技术工人（56.8%）受影响最为常见，其次是在职线路工人或电工（29.6%）和农民（11.1%）。最高比例（81.0%）的患者全身表面积烧伤比例不到20%。感染（41.9%）是最常见的并发症。记录到肌红蛋白尿（19.7%）、截肢（18.5%）、骨筋膜室综合征（14.8%）和周围神经损伤（13.5%）。总共18.5%的患者出现了某些并发症，其中9.9%需要神经外科干预，3.7%需要积极的精神科干预。
经济生产年龄段的大多数年轻男性受到电烧伤伤害。确保工作安全措施以及开展关于电气设备和基础设施相关危险及危害的教育，并正确操作这些设备至关重要。
