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电击伤后是否需要进行心脏监测?(作者译)

[Is cardiac monitoring required after electrical injuries? (author's transl)].

作者信息

Kirchmair W, Dienstl F

出版信息

Dtsch Med Wochenschr. 1982 Jun 4;107(22):857-9. doi: 10.1055/s-2008-1070034.

Abstract

Professional or spare time contacts with electrical appliances are, due to careless handling or technical inadequacies, potentially always associated with electrical injuries. The effects of the electric current on the body depends mainly on voltages: skin and muscle lesions predominate in high voltage injuries. Out of 23 patients, 19 with electrical injuries and 4 with lightning accidents, 18 showed normal ECGs at the time of hospital admission. There were no changes at follow-up. The remaining 5 patients had cardiac arrhythmias which disappeared after 1 1/2 to 36 hours using bedrest and symptomatic treatment only. Cardiac longterm monitoring is thus not required after electrical injuries.

摘要

由于操作不慎或技术不足,无论是在工作中还是业余时间接触电器,都始终存在潜在的触电风险。电流对人体的影响主要取决于电压:高压触电时,皮肤和肌肉损伤较为常见。在23例患者中,19例为电击伤,4例为雷击事故,其中18例入院时心电图正常,随访期间无变化。其余5例患者出现心律失常,仅通过卧床休息和对症治疗,1.5至36小时后心律失常消失。因此,电击伤后无需进行长期心脏监测。

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