Rosenberg D B, Nelson M
Department of Physical Medicine and Rehabilitation, Albert Einstein Medical Center, Philadelphia.
J Trauma. 1988 Jun;28(6):808-12. doi: 10.1097/00005373-198806000-00015.
Patients with electrical burns have problems which are unique to their type of injury. In the acute stage, amputations, peripheral neuropathy, and entrapment syndromes occur more commonly in electricity-induced trauma than in thermal burns. In addition, clinicians must be vigilant because peripheral neuropathy, quadriplegia, paraplegia, and entrapment syndromes may have an insidious onset and become manifest days to months after the original injury. Both electrical and thermal burn patients are subjected to two types of trauma: the insult caused by the acute event, and complications which occur because of poor positioning, bulky dressings, intramuscular injections, and neurotoxic medications.
电烧伤患者有其独特类型损伤所特有的问题。在急性期,与热烧伤相比,截肢、周围神经病变和卡压综合征在电损伤中更为常见。此外,临床医生必须保持警惕,因为周围神经病变、四肢瘫痪、截瘫和卡压综合征可能起病隐匿,在原发损伤数天至数月后才会显现。电烧伤和热烧伤患者都会遭受两种创伤:急性事件造成的损伤,以及因体位不当、敷料厚重、肌肉注射和神经毒性药物导致的并发症。