ANALYSIS OF ELECTRICAL BURNS IN ALBANIA: A FOUR-YEAR REVIEW.

Annals of burns and fire disasters Pub Date : 2024-09-30 eCollection Date: 2024-09-01
S Isaraj, G Xhepa, A Isaraj
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Abstract

This is an epidemiological review of electrical burns admitted to the Service of Burns and Plastic Surgery, UHC "Mother Theresa" of Tirana, Albania, covering a four-year period, from 2019 to 2022. Twenty-seven patients were identified as having sustained an electrical burn injury, all of them males and most of them, namely 85%, belonging to the "working force" age group 19-65 years old. Most of the accidents, 70% of them, occurred at work, and these were all high voltage electrical burns. A total 65% of the cases had at least one of the upper limbs involved and the mean surface area burned was estimated at around 20% TBSA, mortality rate 11.1%, and all the fatal cases were from occupational burns. Serum level of BUN, creatinine and liver enzymes were evaluated on admission and at least 7 days after, with no significant changes. WBC count was found to be elevated in almost all the patients, and remained elevated in the second week and even longer for patients with sepsis. Four of our patients needed amputations. Besides these, no other serious complications were registered.

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阿尔巴尼亚电烧伤分析:四年回顾。
这是阿尔巴尼亚地拉那 "特蕾莎修女 "联合医疗中心烧伤和整形外科收治的电烧伤患者的流行病学回顾,时间跨度为 2019 年至 2022 年,为期四年。经确认,27 名患者遭受过电烧伤,全部为男性,其中大部分(85%)属于 19-65 岁的 "劳动力 "年龄组。大多数事故(70%)发生在工作场所,而且都是高压电烧伤。65%的病例至少有一个上肢被烧伤,平均烧伤面积约为 20% TBSA,死亡率为 11.1%,所有死亡病例均为职业性烧伤。入院时和至少 7 天后对血清中的尿素氮、肌酐和肝酶水平进行了评估,结果无明显变化。几乎所有患者的白细胞计数都升高,而且在第二周仍持续升高,败血症患者的白细胞计数升高时间更长。有四名患者需要截肢。除此之外,没有其他严重并发症。
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