摘要
過去十年間，臺大醫院總共治療148位電擊傷的病患，平均年齡是33.9歲，男女比率是24比1，整體的死亡率是百分之六。有7個人受到閃電擊傷，其中2人在受傷時曾短暫喪失意識，有1人併發白內障，以及1人耳膜破裂。大部分的病患都有神經學症狀，而死亡率爲零。148人中有82人受到高壓電擊傷(55%)，其中83%爲職業傷害。又46%病患在受傷時喪失意識，有2人併發白內障，6人合併骨折，而死亡率爲4.8%。低壓電擊傷的發生率爲40%。其中，42%的病患在受傷時喪失意識，有5人合併骨折，而死亡率爲8.4%。大部分病患的皮膚燒傷面積小於體表面積的百分之一。本文說明了閃電擊傷，高壓電擊傷，及低壓電擊傷的多樣性臨床表現以及電流的傷害是難以預測。
關鍵字
無資料並列摘要
We have reviewed 148 cases of electrical burns treated at the National Taiwan University Hospital Burn Center during the past 10 years. The mean age was 33.9. The male to female ratio was 24:1. The overall mortality was 6%. Seven patients sustained of lightning injuries, conscious loss at the time of injury was noted in 2, cataract in 1 and eardrum perforation in 1. Most of them have neurological complains. The mortality was zero. High-voltage electrical burns occurred in 82 of the 148 patients (55%), 83% were work related. Forty six percent experienced a loss of consciousness at the time of injury, two patients (2%) developed cataract, and 6 patients (7%) had bone fracture, and the mortality was 4.8%. The incidence of low-voltage electrical burns was 40% (n=59), forty two percent experienced a loss of consciousness at the time of injury, and 5 patients (8.4%) had bone fracture, and the mortality was 8.4%. Most of them had skin burn less than 1% TBSA. This paper depicts the broad spectrum of clinical manifestation of electrical injuries ranging from lightning (＞10000V) to domestic supply (110V), and concluded that the severity of the tissue injury is not directly proportional to the intensity of electric current contact at the time of electrical injury. Finally, as the mortality in low voltage group is higher than that in high voltage, the safety use of domestic electricity which is often neglected should be emphasized and reminded.
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