Demir Sabri, Demir Tugba Ornek, Erturk Ahmet, Oztorun Can İhsan, Guney Dogus, Erten Elif Emel, Altinok Metin Kaan, Azili Mujdem Nur, Senel Emrah
Department of Pediatric Surgery, Children Hospital, Ankara Bilkent City Hospital, Turkey.
Department of Pediatric Surgery, Medical Faculty, Ankara Yildirim Beyazit University, Turkey.
J Burn Care Res. 2021 Aug 4;42(4):801-809. doi: 10.1093/jbcr/irab012.
Electrical injuries comprise 4% of cases but have higher morbidity and mortality. This study aims to share our experiences with pediatric electrical injuries and propose strategies to prevent them. The files of pediatric electrical injuries between 2010 and 2020 were reviewed retrospectively. The following were investigated: age, gender, cause, length of stay in the pediatric burn center, total burned surface area, voltage-type, and surgical procedures performed. The patients from low- and high-voltage groups were compared. Eighty-five patients were treated in the last 10 years. Seventy were males, the mean age was 9.9 years, the average length of stay in pediatric burn center was 18.2 days, and the average total burned surface area was 11.7%. Forty-three patients were injured with high-voltage and 42 with low-voltage electricity. Fasciotomy was performed in 25 patients, grafting in 40 patients, and amputation in 12 patients. The most often amputated limb was the right arm/forearm. Psychiatric disorders developed in 24 patients. One patient died. In conclusion, the incidence of high-voltage electrical injuries increases with age. They are more prevalent in males, more often accompanied by additional trauma, and have higher total burned surface area, surgical procedures are performed more often, and hospitalization times are longer. For prevention, precautions should be taken by governments and families, and education is critical.
电击伤占病例的4%，但发病率和死亡率更高。本研究旨在分享我们在小儿电击伤方面的经验，并提出预防策略。回顾性分析了2010年至2020年间小儿电击伤的病历。调查了以下内容：年龄、性别、病因、在小儿烧伤中心的住院时间、烧伤总面积、电压类型以及所进行的外科手术。对低电压组和高电压组的患者进行了比较。在过去10年中治疗了85例患者。其中70例为男性，平均年龄为9.9岁，在小儿烧伤中心的平均住院时间为18.2天，平均烧伤总面积为11.7%。43例患者为高电压电击伤，42例为低电压电击伤。25例患者进行了筋膜切开术，40例患者进行了植皮术，12例患者进行了截肢术。最常被截肢的肢体是右臂/前臂。24例患者出现精神障碍。1例患者死亡。总之，高电压电击伤的发病率随年龄增长而增加。它们在男性中更为普遍，更常伴有其他创伤，烧伤总面积更大，进行外科手术的频率更高，住院时间更长。为了预防，政府和家庭应采取预防措施，教育至关重要。
