Tuma Júnior P, de Faria J C, Fontana C, Goldenberg D C, Ferreira M C
Disciplina de Cirurgia Plástica, Faculdade de Medicina, Universidade de São Paulo.
Rev Hosp Clin Fac Med Sao Paulo. 1995;50 Suppl:13-6.
During a period of 27 months, between 1991 and 1993, 15 patients with upper limb lesions caused by electrical hazards were admitted in the Burn Emergency Service of the Hospital das Clinicas-FMUSP. This lesion is usually a dramatic condition and requires a sound physiopathologic knowledge by the surgeon. These accidents may have permanent incapacitating sequelae, and due to long periods of treatment (2 months), social-economic costs are very high. Based on our experience, we suggest a less aggressive approach (no amputation at emergency), and a close continuous surveillance.
在1991年至1993年的27个月期间,15例因电击伤导致上肢损伤的患者被收治于圣保罗大学医学院临床医院烧伤急诊部。这种损伤通常情况严重,需要外科医生具备扎实的生理病理学知识。这些事故可能会导致永久性致残后遗症,并且由于治疗周期长(2个月),社会经济成本非常高。根据我们的经验,我们建议采用一种较为保守的方法(急诊时不截肢),并进行密切持续监测。