George Nathan, Bandi Sumedha, Ganti Latha, Umansky Aaron, Desai Bobby
Emergency Medicine, University of Central Florida, College of Medicine, Orlando, USA.
Emergency Medicine, Ocala Regional Medical Center, Ocala, USA.
Cureus. 2020 Nov 17;12(11):e11534. doi: 10.7759/cureus.11534.
Lightning strikes are a relatively uncommon emergency department presentation, and due to the very high energy involved, can present quite dramatically, including cardiac arrest. However, as with many chief complaints, sometimes these patients can be discharged home after a benign emergency department evaluation. We present one such case of a male who was struck to the ground by lightning outside his truck, which subsequently caught on fire. He demonstrated the classic Lichtenberg figures associated with a lightning injury that evolved over time but was otherwise hemodynamically stable. After an unremarkable laboratory evaluation and electrocardiogram, he was safely discharged home.
雷击是急诊科相对少见的就诊情况，由于涉及的能量非常高，可能会表现得相当严重，包括心脏骤停。然而，和许多主要症状一样，有时这些患者在经过良性的急诊科评估后可以出院回家。我们呈现这样一个病例，一名男性在他的卡车外被雷击倒在地，随后卡车起火。他身上出现了与雷击伤相关的典型的树枝状图案，随着时间推移有所变化，但其他方面血流动力学稳定。经过正常的实验室检查和心电图检查后，他安全出院回家。
