Wanner-Olsen H, Nielsen P F, Petersen C T, Christensen J H
Arhus Kommunehospital, anaestesiafdelingen.
Ugeskr Laeger. 1996 Dec 9;158(50):7210-2.
Lightning injuries occur sporadically and are rarely seen in emergency departments, during the years 1991-1993 there have been 12 admissions due to this cause in Denmark. The special mechanisms of damage in lightning accidents are illustrated by review of the literature. The clinical findings are described, especially the transient neurological damage characterises lightning accidents. Contrary to what one would expect, the victim often survives a lightning accident. This is surprising considering the tremendous powers of nature involved and the serious clinical manifestations. Prevention is important, this is the reason why the population should be taught the appropriate behaviour if there is a thunderstorm. Resuscitation should be started immediately and continued even though the victim seems lifeless and might have dilated pupils not reacting to light. Good results have been reported even after prolonged resuscitation.
雷击伤偶有发生，在急诊科较为罕见。1991年至1993年间，丹麦因雷击伤入院的患者有12例。通过文献回顾阐述了雷击事故中特殊的损伤机制。描述了临床发现，尤其是雷击事故所特有的短暂性神经损伤。与人们的预期相反，雷击事故的受害者往往能够存活。考虑到其中涉及的巨大自然力量和严重的临床表现，这一点令人惊讶。预防很重要，这就是为什么应该教导民众在雷雨天气时采取适当行为的原因。应立即开始复苏，即使受害者看似无生命迹象且瞳孔可能散大对光无反应，复苏也应持续进行。即使经过长时间复苏，也有良好效果的报道。
