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頁籤選單縮合
題名 | Electrical Injury-Clinical Report of 67 Cases=電傷--67例之臨床報告 |
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作者 | 鄭寶釵; 李嘉恩; 楊瑞永; |
期刊 | 長庚醫學 |
出版日期 | 19940900 |
卷期 | 17:3 1994.09[民83.09] |
頁次 | 頁220-225 |
分類號 | 416.14 |
語文 | eng |
關鍵詞 | 電傷; Electrical burn injuries; High voltage and low voltage injuries; |
中文摘要 | 電傷與一般燒傷不同,它除了會有一般燒傷所造成的症狀以外,還會有一些無法預期的症狀發生。因著所受電量不同,進出部位不同,人體組織電組不同,而有不同的症狀,尤其在電傷的入處及出處,常造成極大的損傷。有些病例即因深部組織潰爛,須作截肢手術。當高壓電經過心臟,可能造成心臟不整脈而死亡。有些病例馬上出現中樞或周圍神經病變,有些病例則在電傷數月或數年後,才出現遲發性神經病變或其他合併症,如關節縮或眼睛病變等。 為了研究電傷患者的受傷因素及日後復健結果,我們共收集了67例電傷患者(約佔同期所有燒傷住院患者的3.2%),利用其病歷資料,並作問卷調查追蹤,加以統計分析。67例患者,大部分為男性,只有5例為女性,平均年齡為32.3歲。其中五分之三的患者是被高於1000伏特的高壓電所電傷。大部分為工人,其中42例(63%)從事與電有關的檢修維護工作。至於發生的地方,有39例(58%)是在工廠內發生,16例(24%)是接觸高壓電線桿而發生。發生的原因,大部份是工作時不小心或遊玩時誤觸引起。 在這67例患者中,有4例不幸死亡,9例接受截肢手術,4例合併有頭部受傷,半身不遂現象,1例併有脊髓損傷,下半身麻痺現象,另有一例後來發生癲癇發作,一例後來發生視力障礙。這些病例都發生在高壓電傷那組。對有神經病變,截肢,或有肢端關節攣縮,活動受限的患者,經復健治療後,除了3例日常生活仍須人幫忙,4例因疼痛異常無法工作外,其餘病例雖然在電視進出的肢體仍留有酸麻感,但均能回後原來工作單位或更換別的工作,獨立生活。 |
英文摘要 | We have reviewed 67 patients of electrical burns treated at Linkou Burn Center of Chang Gung Memorial Hospital from January 1988 to April 1992. There were 2086 acute burn admissions during this period with the proportion of electrical in juries being 3.2%. Their age ragned from 13 to 68 years, with 61% in the age group of 20 to 40 years. Sixty-two (92.5%) of our patients were males. Over 60% of these injuries were work-related. The proportion of high voltage electrical injuries was over 60% in our series. All deceased patients and those patients with major complications were in the high voltage electrical injuries group. Low voltage injuries did not leave any major sequelae. In a mean follow-up of 2 years, 83% of our patients could return to the previous job or change to another work. The overall mortality was 6%. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。