在急诊室的电损伤结果:流行病学,严重程度预测因素和慢性后果
Rym Karray1, Olfa Chakroun-Walha2, Folla Mechri1
1Emergency Department, Habib bourguiba university hospital, Faculty of Medicine, Sfax University, Majida Boulila Avenue, Sfax, Tunisia.
概括
电击伤害 (EIs) 是常见的和多样化的,通常需要多学科的护理. 在受伤后一小时内进行正常的心电图表明严重并发症的风险较低.
科学领域:
- 紧急医疗 紧急医疗
- 毒理学 毒理学 毒理学
- 公共卫生 公共卫生
背景情况:
- 电气损伤 (EIs) 是一个重大的临床挑战,其表现不同,从轻微的烧伤到严重的器官损伤.
- 有限的系统指导方针存在于管理EIs,增加延迟并发症的风险,如心律不整.
- 了解EI流行病学和风险因素对于有效的管理和预防策略至关重要.
研究的目的:
- 调查电击伤害的流行病学和临床结果.
- 为了确定在患有电击伤害的患者中严重呈现的预测因素.
- 为改善患者评估和EI的管理协议提供见解.
主要方法:
- 一项回顾性研究分析了四年来118起电击伤害案例.
- 从标准化医疗记录中收集的数据,将严重并发症定义为危及生命的损伤或在48小时内死亡.
- 分析包括患者人口统计,伤害特征,提出投诉以及短期/长期结果.
主要成果:
- 电击伤害影响了广泛的年龄段,夏季的发病率高峰,大多数发生在家庭事故中.
- 常见的表现包括儿童的烧伤和成年人的创伤;ECG异常与结和心相关.
- 显著的并发症包括心脏骤停,腹溶解和急性损伤;呼吸困难和肌酸激酶升高预测了严重的EI. 一个正常的早期心电图预测了严重后果的低风险.
- 幸存者的长期后果包括审美问题,心理障碍和无法回到以前的职业.
结论:
- 电击伤害很常见,并存在各种临床表现,需要多学科护理.
- 警潜在的延迟并发症对于最佳的患者结果至关重要.
- 预防电击伤害仍然是一个关键的公共卫生目标.
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