Department of Surgery, Acute Care Surgery Division, University of Iowa, Iowa City.
J Burn Care Res. 2021 May 7;42(3):560-563. doi: 10.1093/jbcr/iraa177.
Spinal cord injury has been described in only 2% to 5% of electrical injuries. When its presentation is delayed for several days to weeks after the initial injury, recovery is not the rule. Herein, we describe two patients who developed spinal cord injury from electrical burns. Case 1: A 60-year-old male presented with a 40% TBSA after contacting a power line. On hospital day 6, he developed lower extremity weakness that progressed to flaccid paralysis. Case 2: A 58-year-old male sustained a 9% TBSA high-voltage injury. On hospital day 2, he started to have progressive weakness of his lower extremities that progressed to flaccid paralysis. Neither case was judged to have experienced additional significant trauma. Neurological complications after electrical injuries are protean. Delayed spinal cord injury is rare and associated with variable degrees of recovery. Neurological follow-up with rehabilitation is essential for a successful recovery.
脊髓损伤仅占电气损伤的 2%至 5%。当最初损伤后数天至数周出现其表现时，恢复并不常见。在此，我们描述了两名因电烧伤而发生脊髓损伤的患者。
病例 1：一名 60 岁男性因接触电线导致 40%的 TBSA 烧伤。住院第 6 天，他出现下肢无力，并进展为弛缓性瘫痪。
病例 2：一名 58 岁男性遭受 9%的 TBSA 高压伤。住院第 2 天，他开始出现下肢进行性无力，并进展为弛缓性瘫痪。这两个病例都没有被判断为经历了额外的重大创伤。
电烧伤后的神经并发症是多种多样的。延迟性脊髓损伤很少见，且与不同程度的恢复相关。进行神经随访和康复治疗对于成功恢复至关重要。
