Sure U, Kleihues P
Institute of Neuropathology, University Hospital Zurich, Switzerland.
J Trauma. 1997 Jun;42(6):1161-4. doi: 10.1097/00005373-199706000-00032.
We report the case of a 19-year-old male who sustained an electrodynamic (16.67 Hz) high-voltage (15,000 V) railway overhead cable injury. He lost consciousness 30 minutes after contact and died secondary to brainstem herniation as a result of intracerebral swelling within 8 days. Repeated cranial computed tomography revealed a huge hemispheric mass bleeding accompanied by subarachnoidal hemorrhage. Additionally, necropsy showed an extensive thrombosis of the adjacent cerebral veins. The pathophysiological mechanism of this unusual injury is discussed.
我们报告了一例19岁男性，他遭受了电动（16.67赫兹）高压（15000伏）铁路架空电缆损伤。接触后30分钟他失去意识，8天内因脑内肿胀导致脑干疝而死亡。反复的头颅计算机断层扫描显示巨大的半球形肿块出血并伴有蛛网膜下腔出血。此外，尸检显示相邻脑静脉广泛血栓形成。本文讨论了这种特殊损伤的病理生理机制。
