Burke J F, Quinby W C, Bondoc C, McLaughlin E, Trelstad R L
Am J Surg. 1977 Apr;133(4):492-7. doi: 10.1016/0002-9610(77)90138-6.
High tension electrical burn injury occurred in twenty-nine patients over a period of seven years, causing two deaths, and demonstrating two reasonably distinct patterns. Major surface thermal burns from involvement in an electric arc, augmented by flame burns of ignited clothing, occurred in eleven patients. By contrast, eighteen children demonstrated wounds of entrance and exit of current and varying effects of deep thermal injury along the path of the maximally conductive blood vessels and nerves of extremities. An aggressive surgical approach was taken in patients with both types of injury, with the objective of prompt identification and excision of devitalized tissues and closure of thw wound. In the deep condictuve type of injury, frozen section and subsequent histologic study served as a guide to adequacy of excision and preservation of viable tissue. Even so, amputation of fifteen extremities and four other major excisions were required in twelve patients.
在七年的时间里，有29名患者发生了高压电烧伤，导致两人死亡，并呈现出两种较为明显的模式。11名患者因卷入电弧而造成大面积体表热烧伤，同时点燃的衣物引发的火焰烧伤进一步加重了伤情。相比之下，18名儿童表现出电流入口和出口处的伤口，以及沿着四肢最大传导血管和神经路径的不同程度的深部热损伤。对于这两种类型的损伤患者，均采取了积极的手术方法，目的是迅速识别并切除失活组织，然后闭合伤口。在深部传导型损伤中，冰冻切片及后续的组织学研究可作为切除是否充分以及保存存活组织的指导。即便如此，12名患者中仍有15条肢体被截肢，另有4例进行了其他大型切除手术。
