Preview

Medical alphabet

Advanced search

Electrical injury: characteristic of victims, methods of surgical treatment, microflora of wounds

Abstract

Despite a small share of electric trauma in the structure of burn injuries, it is the most severe and destructive, leading to disability and high mortality. In the work a retrospective analysis of the structure of victims with electric trauma, methods of surgical treatment and composition of microflora wound detachable. Among the patients men predominated. The area of the lesion was 11.5 (3; 30) % of the total body surface area (TBSA), the area of deep burn was 5 (1; 13) % TBSA. 55 patients were operated, 142 surgical interventions were performed. The overall mortality was 12.6 %o, mortality in operated patients was 7.3 %. The age of the patients, the total burn area and the area of deep lesion in the deceased were statistically significantly greater than those of the survivors. Leading pathogens of wound infection in patients with electric trauma were non-fermenting gram-negative bacteria.

About the Authors

T. G. Spiridonova
Research Institute of Emergency Care n.a. N. V. Sklifosovsky
Russian Federation


E. A. Zhirkova
Research Institute of Emergency Care n.a. N. V. Sklifosovsky
Russian Federation


A. V. Sachkov
Research Institute of Emergency Care n.a. N. V. Sklifosovsky
Russian Federation


S. V. Frolov
Research Institute of Emergency Care n.a. N. V. Sklifosovsky
Russian Federation


E. B. Lazareva
Research Institute of Emergency Care n.a. N. V. Sklifosovsky
Russian Federation


E. D. Menshikova
Research Institute of Emergency Care n.a. N. V. Sklifosovsky
Russian Federation


References

1. J. Xie W. G. Prevention and treatment of electrical burn injury: much progresses achieved yet further efforts still needed. Zhonghua Shao Shang Za Zhi.-20J7.- Vol. 20, N 33(J2).- P. 728-73J.

2. AghakhaniK., HeidariM., Tabatabaee S.M., Abdolkarimi L. Effect of current pathway on mortality and morbidity in electrical burn patients // Burns.- 20J5.- Vol. 4J, N J.- P. J72-6.

3. Saracoglu A., Kuzucuoglu T., Yakupoglu S., et al. Prognostic factors in electrical burns: a review of J0J patients // Burns.-20J4.- Vol. 40, N4.- P. 702-7.

4. Соколов В. А., Степаненко А. А., Петрачков С. А., Адмакин А. Л. Эпидемиология поражений электрическим током: электротравма и электроожоги (обзор иностранных публикаций) // Медико-биологические и социально-психологические проблемы безопасности в чрезвычайных ситуациях. 20J4.- N4.- С. 26-32.

5. Кочин О. В. Электротравма: патогенез, клиника, лечение // Медицина неотложных состояний.- 20J5.- N8 (7J).- С. 7-J2.

6. Hundeshagen G., Wurzer P., Forbes A.A., et al. The occurrence of single and multiple organ dysfunction in pediatric electrical versus other thermal burns / / J Trauma Acute Care Surg.- 20J7.- Vol. 82, N5.- P. 946-95J.

7. Reinbold C., Serror K., Mimoun M., et al. Electrical Burns and Late Spontaneous Artery Ruptures: About Three Cases // J Burn Care Res.-20J8.- May J5.

8. Culnan D. M., Farner K., Bitz G. H., et al. Volume Resuscitation in Patients With High-Voltage Electrical Injuries // Ann Plast Surg.- 20J8.- Vol. 80, 3 Suppl. 2.- S JJ3-S JJ8.

9. Shen Y. M., Ma C. X., Qin F. J., et al. Wound repair and functional reconstruction of high-voltage electrical burns in wrists // Zhonghua Shao Shang Za Zhi.- 20J7.- Vol. 20, N33 (J2).- P. 738-743.

10. Jang Y. S., Lee B. H., Park H. S. Lower amputation rate after fasciotomy by straight midline incision technique for a 22r900V electrical injury to the upper extremities // Injury.- 20J7.-Vol. 48, N JJ.- P. 2590-2596


Review

For citations:


Spiridonova T.G., Zhirkova E.A., Sachkov A.V., Frolov S.V., Lazareva E.B., Menshikova E.D. Electrical injury: characteristic of victims, methods of surgical treatment, microflora of wounds. Medical alphabet. 2018;3(28):59-63. (In Russ.)

Views: 586


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)