Cohen J A
Department of Neurology, University of Colorado Health Sciences Center, Denver 80205, USA.
Semin Neurol. 1995 Dec;15(4):387-90. doi: 10.1055/s-2008-1041049.
Both lightning and electrical injuries can cause autonomic nervous system (ANS) symptoms and signs (Table 1). Published descriptions of ANS involvement occurring with lightning and electrical injuries are rare. The most often reported neurologic complications of lightning injuries involve the central nervous system. ANS abnormalities have been documented with lightning, although the descriptions are scant. There is a lack of complete clinical information or ANS testing data in these cases. This is usually a result of the transient nature of ANS complications. In electrical injuries, ANS involvement is less well described than for lightning. Electrical injuries can be associated with peripheral nerve damage. As a result of peripheral nerve damage, reflex sympathetic dystrophy (RSD) may occur in patients with electrical injuries. Various treatment strategies for RSD associated with electrical injuries are found in single case reports. This article summarizes ANS involvement, predominantly in lightning injuries, and describes RSD and its treatment, predominantly in electrical injuries.
闪电伤和电击伤均可导致自主神经系统（ANS）症状和体征（表1）。关于闪电伤和电击伤所伴发的自主神经系统受累情况的公开描述很少。闪电伤最常报道的神经并发症累及中枢神经系统。虽然关于闪电伤自主神经系统异常的描述很少，但已有文献记载。这些病例缺乏完整的临床信息或自主神经系统检测数据。这通常是自主神经系统并发症具有短暂性的结果。在电击伤中，自主神经系统受累情况的描述不如闪电伤那么充分。电击伤可伴有周围神经损伤。由于周围神经损伤，电击伤患者可能会发生反射性交感神经营养不良（RSD）。单例报告中发现了与电击伤相关的RSD的各种治疗策略。本文总结了主要在闪电伤中的自主神经系统受累情况，并描述了主要在电击伤中的RSD及其治疗。
