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題名 | 電傷病患肌酸激酶與截肢關係之研究=The Correlation of Creating Kinase and Amputation in Electrical Burn |
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作者姓名(中文) | 莊曜嘉; | 書刊名 | 中華民國整形外科醫學會雜誌 |
卷期 | 9:1 2000.03[民89.03] |
頁次 | 頁42-47 |
分類號 | 416.141 |
關鍵詞 | 電傷; 肌酸激酶; 截肢; Electrical burn; Creatine kinase; Amputation; |
語文 | 中文(Chinese) |
中文摘要 | 電傷是所有燒傷原因中截肢比率最高的,高達45-71%,死亡率也有3-15%。因此儘早評估電傷病患的組織受傷程度,有助於決定是否應先做清創或截肢處理,避免發生敗血症影響預後。本研究以83位電傷病患為對象,分析入院48小時內的生化檢查肌酸激? (creatine kinase, CK)值和病患的其他往院資料,發現蟾CK值的升高和住院天數、手術次數、是否戴肢有正相關,而接受近端截肢病患入院時的CK值,又較無截肢或末端戴肢病患明顯昇高(>10000U/L)。因此,電傷病患入院時的CK值可做為電傷嚴重程度的評估工具。 |
英文摘要 | Electrical burn occurs 1ss than flam or scald burn. But the amputation rate is 45-71%, and mortality rate is 3-15%. Early assessing the severity of electrical burn is critical for deciding treatment. A retrospective study was performed to determine the correlation of serum creatine kinase level with treatment, morbidity, and outcome. From January 1993 to December 1998, ughty4hree electrical burn patients were admitted to the Mackay Memorial Hospital and included in the study. The high livels of serum CK were associated with the length of hospitalization, surgical intervention and amputation. Most patients with major amputation had marked elevation of serum CK level (>10000 U/L). We concluded that there is an association between elevated serum CK levels and the severity of electrical burn. The marked elevation of serum CK has a strong relationship to the extent of limb amputations. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。