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雷击伤：两个病例报告及治疗综述

Lightning injury: two case histories and a review of management.

作者信息

Hanson G C, McIlwraith G R

出版信息

Br Med J. 1973 Nov 3;4(5887):271-4. doi: 10.1136/bmj.4.5887.271.

DOI:10.1136/bmj.4.5887.271
PMID:4753241
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1587333/
Abstract

Two cases of fatal lightning injury are described. Fixed dilated pupils should not be taken as an indicator of death after a lightning strike. Persons who fail to breath spontaneously within one minute of lightning shock should receive external cardiac massage and mouth-to-mouth resuscitation. Paralysis may persist as result of cerebral oedema or prolonged hypoxia-it is therefore suggested that adequate ventilation and metabolic balance should be maintained until recovery or death.

摘要

本文描述了两例致命雷击伤病例。雷击后不应将固定散大的瞳孔视为死亡指标。遭受雷击后一分钟内不能自主呼吸者应接受体外心脏按压和口对口复苏。由于脑水肿或长期缺氧，瘫痪可能会持续存在——因此建议维持充分的通气和代谢平衡，直至恢复或死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1bd/1587333/39179fa15cb7/brmedj01583-0044-d.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1bd/1587333/39179fa15cb7/brmedj01583-0044-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1bd/1587333/9a5497a0b16a/brmedj01583-0043-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1bd/1587333/983dabd03432/brmedj01583-0044-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1bd/1587333/8d45bb3af821/brmedj01583-0044-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1bd/1587333/760b3c834c10/brmedj01583-0044-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1bd/1587333/39179fa15cb7/brmedj01583-0044-d.jpg

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1
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引用本文的文献

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2
Harnessing Thor's Hammer: Experimentally induced lightning trauma to human bone by high impulse current.利用雷神之锤：通过高脉冲电流对人体骨骼进行实验性诱导雷击创伤。
Forensic Sci Int Synerg. 2021 Nov 3;3:100206. doi: 10.1016/j.fsisyn.2021.100206. eCollection 2021.
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Cardiac Effects of Lightning Strikes.雷击对心脏的影响。

本文引用的文献

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Lightning stroke. Report of a case with recovery after cardiac massage and prolonged artificial respiration.
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[Brain changes after death from lightining bolt].[雷击致死后脑的变化]
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[Brain manifestations after death from lightning].[雷击死亡后的脑部表现]
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Cardiac troponin I: A potent biomarker for myocardial damage assessment following high voltage electric burn.心肌肌钙蛋白I：高压电烧伤后心肌损伤评估的有效生物标志物。
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Lightning and the heart.闪电与心脏。
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Lightning burns.雷击烧伤
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Lightning injury.雷击伤
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Non-invasive evaluation of electrical cardiac injury.心脏电损伤的无创评估。
Br Heart J. 1983 Feb;49(2):190-2. doi: 10.1136/hrt.49.2.190.
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Blast injury of the lungs due to lightning.闪电导致的肺部爆震伤。
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The cardiac effects of lightning injury.闪电损伤的心脏效应。
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"Death" from lightning--and the possiblity of living again.闪电所致的“死亡”以及再次苏醒的可能性。
Ann Intern Med. 1968 Jun;68(6):1345-53. doi: 10.7326/0003-4819-68-6-1345.