Stromunf?lle in der P?diatrie

详细信息    查看全文

• 作者：Dr. V. Icheva ; E. Heimberg
• 关键词：Blitzschl?ge ; Herzrhythmusst?rung ; Thermische Verletzung ; Risikostratifizierung ; Elektrokardiographie ; Lightning injuries ; Cardiac arrhythmia ; Electric burns ; Risk stratification ; Electrocardiography
• 刊名：Monatsschrift Kinderheilkunde
• 出版年：2015
• 出版时间：September 2015
• 年：2015
• 卷：163
• 期：9
• 页码：918-924
• 全文大小：581 KB
• 参考文献：1.Fish RM, Geddes LA (2009) Conduction of electrical current to and through the human body: a review. Eplasty 9:e44PubMed Central PubMed
  2.Claudet I, Maréchal C, Debuisson C et al (2010) Risk of arrhythmia and domestic low-voltage electrical injury. Arch Pediatr 17(4):343-49CrossRef PubMed
  3.Maghsoudi H, Adyani Y, Ahmadian N (2007) Electrical and lightning injuries. J Burn Care Res 28(2):255-61CrossRef PubMed
  4.Bailey B, Gaudreault P, Thivierge RL (2007) Cardiac monitoring of high-risk patients after an electrical injury: a prospective multicentre study. Emerg Med J 24(5):348-52PubMed Central CrossRef PubMed
  5.Garcia CT, Smith GA, Cohen DM et al (1995) Electrical injuries in a pediatric emergency department. Ann Emerg Med 26(5):604-08CrossRef PubMed
  6.Bailey B, Forget S, Gaudreault P (2001) Prevalence of potential risk factors in victims of electrocution. Forensic Sci Int 123:58-2CrossRef PubMed
  7.Jensen PJ, Thomsen PE, Bagger JP et al (1987) Electrical injury causing ventricular arrhythmias. Br Heart J 57(3):279-83PubMed Central CrossRef PubMed
  8.Sharma BC, Patial RK, Pal LS et al (1990) Electrocardiographic manifestations following household electric current injury. J Assoc Physicians India 38:938-39PubMed
  9.Searle J, Slagman A, Maa? W et al (2013) Cardiac monitoring in patients with electrical injuries. An analysis of 268 patients at the Charité Hospital. Dtsch Arztebl Int 110(50):847-53PubMed Central PubMed
  10.Blackwell N, Hayllar J (2002) A three year prospective audit of 212 presentations to the emergency department after electrical injury with a management protocol. Postgrad Med J 78(919):283-85PubMed Central CrossRef PubMed
  11.Soar J, Perkins GD, Abbas G (2010) European Resuscitation Council Guidelines for Resuscitation 2010 Section 8. Cardiac arrest in special circumstances: electrolyte abnormalities, poisoning, drowning, accidental hypothermia, hyperthermia, asthma, anaphylaxis, cardiac surgery, trauma, pregnancy, electrocution. Resuscitation 81(10):1400-433CrossRef PubMed
  12.Celik A, Ergün O, Ozok G (2004) Pediatric electrical injuries: a review of 38 consecutive patients. J Pediatr Surg 39(8):1233-237 (Review)CrossRef PubMed
  13.Arnoldo BD, Purdue GF (2009) The diagnosis and management of electrical injuries. Hand Clin 25(4):469-79 (Review)CrossRef PubMed
  14.http://www.uptodate.com. Zugegriffen: 01. April 2014
  15.Nicolai T (2007) P?diatrische Notfall- und Intensivmedizin: ein praktischer Leitfaden. Springer, Berlin Heidelberg New York Tokio
  16.Edlich RF, Farinholt HM, Winters KL et al (2005) Modern concepts of treatment and prevention of lightning injuries (Review). J Long Term Eff Med Implants 15(2):185-96CrossRef PubMed
  
• 作者单位：Dr. V. Icheva (1)
  E. Heimberg (1)
  
  1. Abteilung für Kinderkardiologie, Intensivmedizin und Pulmologie, Universit?tskinderklinik Tübingen, Hoppe Seyler Str. 1, 72076, Tübingen, Deutschland
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Pediatrics
  General Practice and Family Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-0474

文摘

Electrical injuries do not belong to the commonest causes of presentation in the pediatric emergency department but they are often a challenge for the treating physician, as uncertainty prevails regarding the requirements of monitoring, the scope of instrumentation and laboratory diagnostics. The majority of electrical injuries in childhood are caused by household current (low voltage <-00 V). Contrary to widespread opinion, delayed arrhythmias (within 24 h) following low voltage accidents are uncommon in patients without electrocardiogram (ECG) changes at initial presentation. These patients do not require further diagnostics or overnight monitoring. Electrical accidents lead to cardiac damage only in the minority if cases. In extreme cases this results in cardiac arrest and loss of consciousness; however, various other ECG abnormalities can also occur. Such patients should be hospitalized and monitored by continuous ECG surveillance. In high voltage accidents >-00 V thermal damage with severe burns is the predominant injury pattern. Keywords Lightning injuries Cardiac arrhythmia Electric burns Risk stratification Electrocardiography