電傷之臨床研究

Clinical Study of Electrical Burn

莊曜嘉(Yao-Chia Chuang) ； 姜義彬(Yi-Pin Chiang)

《中華民國復健醫學會雜誌》 26卷1期 (1998/03) Pp. 17-21

摘要

由84年1月至85年12月之間，共36位病患因電傷住院。大部份病患為男性，平均年齡為31.3歲。因高壓電電傷有27例，因低壓電電傷有9例。23位病患共接受了61次手術治療，其中包括4位病患截肢。肌酸激?（creatine kinase, CK）值的升高和住院天數，手術治療及截肢有關。21位病患肌酸激?心肌同位?（creatine kinase myocardial band isoenzyme, CK-MB）值亦有異常升高，但並無病患有心肌梗塞之症狀。所有病患中，35例存活，死亡率為2.8%。

關鍵字

電傷 ； 肌酸激酶 ； 截肢

並列摘要

Electrical injuries, compared to fire or scald burns, occur infrequently but often result in amputations causing disabilities. A retrospective study was undertaken to present some statistical data and determine the correlation of serum creatinine kinase (CK) level and creatine kinase myocardial band isoenzyme (CK-MB) level with treatment, morbidity and outcome. From January 1995 to December 1996, thirty-six electrical burn patients were admitted to our hospital. Thirty-four of these patients were men and two were women, and the mean age was 31.3 years old. There were 27 high-voltage injuries and 9 low-voltage injuries. Twenty-three patients had a total of 61 surgeries, including four amputations. High levels of serum CK were associated with the length of hospitalization, surgical intervention and amputation. Of the twenty-one patients with elevated CK-MB levels, no patient had clinical evidences of myocardial infarction. Thirty-five patients survived and the mortality rate was 3%. We conclude that there is an association between elevated serum CK levels and the severity of electrical injuries. High levels of serum CK indicate longer hospitalization and greater risk of surgical intervention or amputation.

並列關鍵字

electrical burn ； creatine kinase ； amputation