LUNG PARENCHYMAL DAMAGE DUE TO HIGH VOLTAGE ELECTRIC SHOCK

IF 0.1 Q4 EMERGENCY MEDICINE Journal of Emergency Medicine Case Reports Pub Date : 2023-12-06 DOI:10.33706/jemcr.1370569
Mustafa Alpaslan, Mehmet Oktay, Ercan Kiliç
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Abstract

INTRODUCTION In electric shocks, lung tissue is a poor conductor and has low resistance. Therefore, they are not very sensitive to the development of tissue damage due to electric current. In this study, we wanted to present a rare case of lung parenchymal burn as a result of electric shock. CASE REPORT A 21-year-old male patient was brought to the emergency department by ambulance after being electrocuted with a current of 15,000 volts after contact with a high voltage line while working with a construction machine. The general condition of the patient was good and vital signs were stable. However, his pulse oxygen value was 74 and his breathing was slightly tachypneic. There were no lesions in the chest and abdomen due to electrical burns. Radiologic imaging showed bilateral diffuse tissue damage in the lung tissue. The patient was referred to a tertiary care institution with an intensive care burn unit. CONCLUSION In traumas caused by high-voltage electric shock, burns on the body surface may be insufficient to determine the severity of the trauma. A multidisciplinary approach must be provided to these patients
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高压电击导致的肺实质损伤
简介 在电击中,肺组织是不良导体,电阻较低。因此,它们对电流造成的组织损伤并不十分敏感。在本研究中,我们希望介绍一例罕见的电击导致的肺实质烧伤病例。病例报告 一名 21 岁的男性患者在使用建筑机械工作时,因接触高压电线而触电,电流高达 15,000 伏,被救护车送到急诊科。患者一般情况良好,生命体征稳定。然而,他的脉搏氧值为 74,呼吸略微急促。胸部和腹部没有电烧伤引起的病变。放射成像显示双侧肺组织弥漫性损伤。患者被转诊到一家设有烧伤重症监护室的三级医疗机构。结论 在高压电击造成的创伤中,体表烧伤可能不足以确定创伤的严重程度。必须为这些患者提供多学科的治疗方法
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