Bounasri M, Mokline A, Houichi M, Fraj H, Messadi A-A
Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunisie.
Service de Réanimation des Brûlés, Centre de Traumatologie et des Grands Brulés, Tunis, Tunisie.
Ann Burns Fire Disasters. 2024 Jun 30;37(2):118-123. eCollection 2024 Jun.
Electrical burn injuries (EBI) affect both adults and children and are responsible for a very high number of major limb amputations. Their management is still a major challenge. This retrospective review concerns 42 children, admitted to an intensive burn care department in Tunisia for high electrical burns, from January 2016 to September 2022. The average age of our patients was 12 years, with a male predominance (90.5%). Electrotrauma was accidental in the majority of cases (93%) and secondary to a domestic accident in 54.8% of cases. Total body surface area was 19%. Burns were second degree in 2/3 of cases and third degree in 1/3 of cases. The most affected areas were distal extremities in 2/3 of the cases. Rhabdomyolysis was observed in 93% of cases and troponins were elevated in half of the patients. Escharotomy was required in 38% of cases. Amputation was performed in 18 children (43%): one limb (n=10); 2 limbs (n=6) and 3 limbs (n=2). The outcome was favorable in 9 children (21.4%); functional and cosmetic sequelae with an impact on schooling and psychology were reported in 25 cases. Mortality was 16.7%.
电烧伤会影响成人和儿童，并且导致大量的肢体大截肢。其治疗仍然是一项重大挑战。本回顾性研究涉及2016年1月至2022年9月期间因高电压电烧伤入住突尼斯一家烧伤重症监护病房的42名儿童。我们患者的平均年龄为12岁，男性占多数（90.5%）。大多数情况下（93%）电创伤是意外造成的，54.8%的病例继发于家庭事故。总体表面积为19%。三分之二的病例为二度烧伤，三分之一的病例为三度烧伤。三分之二的病例中受影响最严重的部位是四肢远端。93%的病例观察到横纹肌溶解，半数患者肌钙蛋白升高。38%的病例需要进行焦痂切开术。18名儿童（43%）接受了截肢手术：单肢截肢（n = 10）；双肢截肢（n = 6）和三肢截肢（n = 2）。9名儿童（21.4%）预后良好；25例报告有影响上学和心理的功能及美容后遗症。死亡率为16.7%。
