Varghese G, Mani M M, Redford J B
Paraplegia. 1986 Jun;24(3):159-66. doi: 10.1038/sc.1986.21.
Injuries from high tension electrical current result in approximately 1000 deaths per year and account for 3% of all major thermal injuries in the United States. Even though the complications from electrical injury can affect almost every organ system in the body, a neurological complication is perhaps the most common non-lethal one. 116 cases of electrical accidents among 1206 burn patients admitted to Kansas University Medical Center were reviewed. There were 5 cases of spinal cord injury which were detected from a few days up to four weeks from the injury. All had incomplete lesions. Two of them had quadriparesis, and 3 paraparesis. Clinical manifestations included motor and sensory involvement, predominantly motor. Possible mechanisms for the spinal cord damage include heating effect, electrogenic changes and vascular damage. Spinal cord injury following an electrical accident is more frequently encountered than is generally recognized.
高压电流造成的损伤每年导致约1000人死亡，占美国所有严重热损伤的3%。尽管电击伤的并发症几乎会影响身体的每个器官系统，但神经并发症可能是最常见的非致命性并发症。对堪萨斯大学医学中心收治的1206例烧伤患者中的116例电伤事故进行了回顾。有5例脊髓损伤，在受伤后数天至四周内被发现。所有损伤均为不完全性损伤。其中2例为四肢瘫，3例为截瘫。临床表现包括运动和感觉受累，以运动受累为主。脊髓损伤的可能机制包括热效应、电生理变化和血管损伤。电伤事故后发生的脊髓损伤比一般认为的更为常见。
