Document Detail


Electrical burns in Chinese fishermen using graphite rods under high-voltage cables.
MedLine Citation:
PMID:  17925639     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The 42 patients admitted to our Burn Center from January 1, 1994 to December 31, 2005, with electrical and fire burn injuries caused by electricity-conducting graphite-carbon fishing rods touching overhead high voltage electrical lines were epidemiologically studied retrospectively. All patients were men, with a mean age of 40.33 years. The majority of patients (59.5%) were burned with less than 10%, mostly deep burns. The hand was the predominant electricity "entry" point and foot was the most frequent "exit" point. Admissions increased from 5 in 6 years, 1994 to 2000, to 15 in 3 years, 2000 through 2002, to 22 cases in 3 years, 2003 through 2005. Spring and fall, and months May and October were times of highest incidence. The treatment was complex, difficult, long, and costly. Thirty-eight patients (90.4%) required operations, including early excision and graft (34 patients), and amputation (14 patients). Two patients had an inhalation injury that necessitated a tracheostomy and four victims had additional skin and soft-tissue injury. Thirty-two patients had a record of unconsciousness immediately after the electrical injury and atrial premature beats were a frequently found arrhythmia. A significant (P <.01) increase in serum creatine kinase MB fraction was found in 11 patients. The mean time in hospital of the survivors was 28.97 days. Acute renal failure was the commonest complication and one patient died of sepsis with giving a mortality rate of 2.4%. Caution and preventive measures are warranted while fishing near electrical wires, and improvements in electrical burn treatment are needed.
Authors:
Fei Wang; Xu-Lin Chen; Yong-Jie Wang; Xia-Ying Chen; Feng Guo; Ye-Xiang Sun
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of burn care & research : official publication of the American Burn Association     Volume:  28     ISSN:  1559-047X     ISO Abbreviation:  -     Publication Date:    2007 Nov-Dec
Date Detail:
Created Date:  2007-12-14     Completed Date:  2008-01-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101262774     Medline TA:  J Burn Care Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  897-904     Citation Subset:  IM    
Affiliation:
Department of Burns, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, People's Republic of China.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Amputation
Burns, Electric / epidemiology*,  etiology,  surgery
Carbon
Child
China / epidemiology
Creatine Kinase, MB Form / blood
Electric Conductivity*
Fisheries / instrumentation*
Graphite
Humans
Injury Severity Score
Kidney Failure, Acute / etiology
Length of Stay / statistics & numerical data
Male
Middle Aged
Patient Admission / statistics & numerical data,  trends
Seasons
Sepsis / etiology
Skin Transplantation
Smoke Inhalation Injury / surgery
Tracheostomy
Chemical
Reg. No./Substance:
7440-44-0/Carbon; 7782-42-5/Graphite; EC 2.7.3.2/Creatine Kinase, MB Form

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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