Dubien P Y, Bertin-Maghit M, Gueugniaud P Y, Bouchard C, Ould-Aoudia T, Petit P
Service d'Aide médicale urgente de Lyon, Hôpital Edouard Herriot.
Presse Med. 1996 Nov 23;25(36):1781-5.
A retrospective study of patients with electrical burns was conducted to choose criteria for initial dispatching and establish a treatment protocol for out patient management.
The study included 67 patients injured by electrical current and admitted at Edouard Herriot Hospital Burns Unit between January 1st 1990 and January 1st 1993.
Low-voltage currents (< 1000 Volts) responsible for serious and immediate cardio-vascular diseases occurred in domestic accidents, mostly with children. High-voltage current (> 1000 Volts) responsible for deep burn injuries occurred in accidents at work and mostly with adults. Twenty-two were outpatients and 45 were admitted at once. Two died on admission, 24 were hospitalized less than five days, 11 required repeated surgical treatments and a long stay at hospital, and 8 were severely burned and were admitted to the intensive-care unit. Two required continuous venovenous hemodialysis for three weeks. Morbidity of the last three groups was nil, morbidity remained high in term of functional and aesthetic after-effects.
Information on prevention of electrical burns should be intensified.
对电烧伤患者进行回顾性研究，以选择初始分诊标准并制定门诊治疗方案。
该研究纳入了1990年1月1日至1993年1月1日期间在爱德华·赫里奥特医院烧伤科收治的67例电流损伤患者。
低电压电流（<1000伏）导致严重且即刻发生的心血管疾病，多发生于家庭事故中，主要受害者为儿童。高电压电流（>1000伏）导致深度烧伤，多发生于工作事故中，主要受害者为成年人。22例为门诊患者，45例立即入院。2例入院时死亡，24例住院时间少于5天，11例需要反复手术治疗且住院时间长，8例严重烧伤并入住重症监护病房。2例需要持续静脉血液透析3周。后三组的死亡率为零，但在功能和美观后遗症方面发病率仍然很高。
应加强电烧伤预防方面的宣传。
