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Lightning Injury-Report of Four Cases and Literature Review

閃電電傷:四例個案報告和文獻回顧

摘要


閃電電傷在台灣並不常見。最近四年來我們收集了四例,四例全為男性。其中兩例發生在城市,另兩例發生在郊外。兩例發生心跳暫停的現象。四例都沒有嚴重的軟組織損傷。我們從文獻中回顧了101個閃電電傷案例,並加以分析。結果發現臨床上最常見的表現是皮表燒傷,其次是神經學上的癥狀,如麻木感和肌肉無力。死亡率達百分之二十二,大多當場斃命。大部分的倖存者預後都不錯。文末並討論到最新的安全防護上的建議。

關鍵字

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並列摘要


Lightning injuries are uncommon injuries in our country. We encountered four cases of lightning injuries in recent 4 years. All of them are male. Two cases occurred in the city, while the other two in the suburban. Immediate cardiac arrest was noted in two cases. None of them had severe soft tissue injuries. A total of 101 cases of lightning injuries were reviewed in Medline from the year 1996 to 2001. We found that cutaneous burn was the most common clinical manifestations followed by neurological signs such as numbness and muscle weakness. The mortality rate is 22%. Most of the expired died on the spot. The prognosis is good in victims who survive following the injuries. Safety recommendations will be discussed.

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