Clore E R, House M A
University of Florida, Orlando.
Nurse Pract. 1987 Dec;12(12):37, 40-1, 44-5.
Lightning ranks first among natural disasters in terms of fatalities and property damage each year. If fortunate enough to survive, the victim of a lightning or electrical accident often presents with numerous complicated clinical manifestations. The astute nurse practitioner will be challenged to identify the immediate signs and symptoms of possible system disruption, and to institute the follow-up management necessary to prevent further complications. This article explores the nurse practitioner's role in the physical assessment of the client and the protocol for management and follow-up care. Case studies are presented to illustrate the various multisystem findings of clients struck either directly or indirectly by lightning. Environmental precautions to decrease the likelihood of lightning's harmful effects are also discussed. It is easier to prevent a lightning and/or electrical accident than to treat the victim.
就每年造成的死亡人数和财产损失而言，闪电在自然灾害中位居首位。如果有幸在闪电或电气事故中存活下来，受害者往往会出现众多复杂的临床表现。敏锐的执业护士将面临挑战，要识别可能的系统功能紊乱的即时体征和症状，并开展必要的后续管理以预防进一步的并发症。本文探讨了执业护士在对患者进行身体评估中的作用以及管理和后续护理方案。文中呈现了案例研究，以说明直接或间接遭闪电袭击的患者的各种多系统表现。还讨论了降低闪电有害影响可能性的环境预防措施。预防闪电和/或电气事故比救治受害者更容易。
