Department of Clinical Research, Shriners Hospitals for Children - Boston, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA; Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Burns. 2020 Nov;46(7):1693-1699. doi: 10.1016/j.burns.2020.03.005. Epub 2020 Mar 31.
Electrical burns are an uncommon yet devastating class of burn injuries. Shriners Hospitals for Children - Boston a pediatric burn center in New England and cares for both domestic and international patients. We utilized our experience over the past 13 years to review surgical management and evaluate historical trends for this unique patient group. A retrospective chart review was conducted on 68 patients aged 0-18 years admitted to our pediatric center with an electrical burn from January 2005 to December 2018. We collected and analyzed data pertaining to patient demographics, burn characteristics, clinical course, and surgical interventions. Our cohort included 31 patients from the US (46%) and 37 transferred from a variety of international countries (54%). The majority of US patients were admitted with low voltage burns (81%), whereas the majority of international patients were admitted with high voltage burns (95%). Acute and reconstructive surgical interventions were performed mainly for high voltage burns (94% and 89%). Based on our experience, epidemiology and surgical intervention varied based on voltage of the burn injury and residence of the patient. We have seen a reduction in US pediatric high voltage injuries over the past two decades, likely due to enhancement of electrical safety. It may be possible to use a similar strategy to reduce the frequency of severe high voltage electrical burn injuries in developing countries.
电烧伤是一种罕见但严重的烧伤类型。Shriners Hospitals for Children-Boston 是新英格兰地区的一家儿科烧伤中心，为国内外患者提供服务。我们利用过去 13 年的经验，回顾了对这一独特患者群体的手术治疗管理，并评估了历史趋势。对 2005 年 1 月至 2018 年 12 月期间因电烧伤而入住我们儿科中心的 68 名 0-18 岁患者进行了回顾性图表审查。我们收集并分析了与患者人口统计学、烧伤特征、临床过程和手术干预相关的数据。我们的患者队列包括 31 名来自美国（46%）和 37 名来自各种国际国家（54%）的患者。大多数美国患者因低电压烧伤而入院（81%），而大多数国际患者因高电压烧伤而入院（95%）。急性和重建性手术干预主要针对高电压烧伤（94%和 89%）进行。根据我们的经验，流行病学和手术干预因烧伤电压和患者居住地而异。在过去的二十年中，我们已经看到美国儿科高电压损伤的减少，这可能是由于电气安全的增强。可能可以采用类似的策略来减少发展中国家严重高电压电烧伤的频率。
