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成人电烧伤。

Electrical burns in adults.

出版信息

Acta Chir Plast. 2023 Summer;65(2):66-69. doi: 10.48095/ccachp202366.

DOI:10.48095/ccachp202366
PMID:37722902
Abstract

INTRODUCTION

Electrical burns account for up to 10% of burns admissions worldwide and are a potentially serious mechanism of injury. The aim of this study is to describe the epidemiology, presentation, management and complications of electrical burn injuries in adults.

MATERIAL AND METHODS

A retrospective study of all adult patients with electrical burns admitted to a tertiary burns centre.

RESULTS

Eighty-two cases were identified. The mean age was 40 ± 2 years, 92.7% were males. The most common activities causing the injuries were work (39%) and do-it yourself activities (32%). A low voltage (< 1,000 W) power source was involved in 78% of cases. The mean total body surface area involved was 3 ± 0.3%. The head, hands, and other upper extremities were the body parts most frequently injured. The mean hospital stay was 2 ± 1days.

CONCLUSION

Electrical injury was an infrequent but potentially serious cause of injury in adults. Minor injuries were successfully managed non-operatively. Electrical burns in adults are mainly low voltage burns contracted by manual workers resulting in a flesh burn. Although rare, the loss of digits, neurological sequelae, cardiac arrhythmias and renal failure remain serious complications in a significant number of cases.

摘要

简介

电气烧伤占全球烧伤入院人数的 10%,是一种潜在的严重损伤机制。本研究旨在描述成人电气烧伤的流行病学、表现、治疗和并发症。

材料和方法

对一家三级烧伤中心收治的所有成年电气烧伤患者进行回顾性研究。

结果

共确定了 82 例病例。平均年龄为 40 ± 2 岁,92.7%为男性。导致受伤的最常见活动是工作(39%)和 DIY 活动(32%)。78%的病例涉及低电压(<1000W)电源。平均总体表面积为 3 ± 0.3%。头部、手部和其他上肢是最常受伤的身体部位。平均住院时间为 2 ± 1 天。

结论

电气损伤在成人中虽不常见,但却是一种潜在的严重损伤原因。轻度损伤成功地进行了非手术治疗。成人的电气烧伤主要是由手工劳动者接触低电压引起的,导致肉体烧伤。尽管很少见,但在相当多的病例中,仍会出现手指丧失、神经后遗症、心律失常和肾衰竭等严重并发症。

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