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雷击导致致命性肺挫伤:一例报告

Lightning Strike Presenting as Fatal Lung Contusion: A Case Report.

作者信息

Patel Sujal, Yelne Pallavi, Gaidhane Shilpa A, Kumar Sunil, Acharya Sourya, Shah Divit, Patel Mansi, Kakde Yogesh

机构信息

Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Department of Medicine, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2022 Dec 30;14(12):e33125. doi: 10.7759/cureus.33125. eCollection 2022 Dec.

DOI:10.7759/cureus.33125
PMID:36726903
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9886365/
Abstract

Electrical injuries to humans from a lightning strike are associated with significant rates of morbidity and fatality. High-voltage injuries including those caused by lightning strikes are pulmonary edema, pulmonary contusion, acute respiratory distress syndrome, and pulmonary hemorrhages. Patients who get injured experience secondary trauma in addition to direct and indirect injury. In this report, we present the case of a 62-year-old male patient with complaints of shortness of breath, vomiting, and hoarseness of voice. The patient's treatment included airway protection, antibiotics, corticosteroids, and supportive care; however, the patient did not survive due to a severe lung contusion.

摘要

雷击对人体造成的电击伤与高发病率和死亡率相关。包括雷击造成的伤害在内的高压损伤有肺水肿、肺挫伤、急性呼吸窘迫综合征和肺出血。受伤患者除了直接和间接损伤外还会经历继发性创伤。在本报告中,我们介绍了一名62岁男性患者的病例,该患者主诉呼吸急促、呕吐和声音嘶哑。患者的治疗包括气道保护、抗生素、皮质类固醇和支持性护理;然而,由于严重的肺挫伤,患者未能存活。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b84f/9886365/873a86cc6e56/cureus-0014-00000033125-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b84f/9886365/8cbc24a6ca72/cureus-0014-00000033125-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b84f/9886365/3d91b2b4aec1/cureus-0014-00000033125-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b84f/9886365/360c9faf2dc3/cureus-0014-00000033125-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b84f/9886365/873a86cc6e56/cureus-0014-00000033125-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b84f/9886365/8cbc24a6ca72/cureus-0014-00000033125-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b84f/9886365/3d91b2b4aec1/cureus-0014-00000033125-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b84f/9886365/360c9faf2dc3/cureus-0014-00000033125-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b84f/9886365/873a86cc6e56/cureus-0014-00000033125-i04.jpg

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本文引用的文献

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A rare complication of lightning strike: Pulmonary contusion.雷击的一种罕见并发症:肺挫伤。
North Clin Istanb. 2020 Dec 31;8(6):619-622. doi: 10.14744/nci.2020.24022. eCollection 2021.
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Injuries and deaths from lightning.雷击致伤和致死。
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Pulmonary contusion.肺挫伤
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Lightning-strike-induced acute lung injury: a case report.雷击所致急性肺损伤:一例报告
Ulus Travma Acil Cerrahi Derg. 2019 Mar;25(2):198-201. doi: 10.5505/tjtes.2018.41861.
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Lung Contusion: A Clinico-Pathological Entity with Unpredictable Clinical Course.肺挫伤:一种临床病程不可预测的临床病理实体。
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