응급실에 내원한 소아 전기 화상 환자의 임상적 양상과 예방을 위한 노출 요인 분석

Analysis of Exposure Factors for Clinical and Preventive Aspects of Pediatric Electrical Burn Patients who Visited the Emergency Department

  • 박상준 (가톨릭대학교 의과대학 응급의학교실) ;
  • 김성욱 (가톨릭대학교 의과대학 응급의학교실) ;
  • 정원중 (가톨릭대학교 의과대학 응급의학교실) ;
  • 오상훈 (가톨릭대학교 의과대학 응급의학교실) ;
  • 박정택 (가톨릭대학교 의과대학 응급의학교실)
  • Park, Sang Jun (Department of Emergency Medicine, College of Medicine, The Catholic University of Korea) ;
  • Kim, Sung Wook (Department of Emergency Medicine, College of Medicine, The Catholic University of Korea) ;
  • Jeong, Won Jung (Department of Emergency Medicine, College of Medicine, The Catholic University of Korea) ;
  • Oh, Sang Hoon (Department of Emergency Medicine, College of Medicine, The Catholic University of Korea) ;
  • Park, Jeong Taek (Department of Emergency Medicine, College of Medicine, The Catholic University of Korea)
  • 투고 : 2015.08.26
  • 심사 : 2015.10.04
  • 발행 : 2015.09.30

초록

Purpose: The aims of this study were to discuss treatment and prevention under the age of 18 to identify the characteristics of the electrical burn patients. Methods: We retrospectively reviewed medical records of 97 patients with under age 18 of electric burn who were treated in emergency department of quarterly over 10,000 targets within the desired hospital for evaluation of electrical injuries between January 1, 2009 and December, 2013. We investigated age, gender, injury mechanism, season, degree of burn, surface of burn, complication, blood test, and voltage, kind of current. Results: Of the patients, 50 (50.5%) patients were in the first degree burn and 47 (49.5%) patients were in second degree burn. 68 (70.1%) patients had electric burn at home. 75 (85.2%) of 88 patients had normal sinus rhythm and other 13 people showed a RBBB, VPC, sinus bradycardia, sinus tachycardia. 41 (42.3) of 97 patients were in infants and 26 (26.8%) patients were in adolescence. Conclusion: The results of this study emphasize the need for prevention of electricity at home for childhood and education of the adolescence.

키워드

참고문헌

  1. Anastassios C. Koumbourlis: Electrical injuries. Crit Care Med 2002; 30: 424-430. https://doi.org/10.1097/00003246-200211001-00007
  2. Ashock S. Gajbhiye, Mona M. Meshram, et al: The Management of Electrical Burn. Indian J Surg 2013; 75: 278-283. https://doi.org/10.1007/s12262-012-0476-x
  3. Mehmet T. Gokdemir, Halil Kaya et al. Factors Affecting he Clinical Outcome of Low-Voltage Electrical Injuries in Children. Pediatr Emerg Care 2013; 29: 357-359. https://doi.org/10.1097/PEC.0b013e3182854445
  4. Mark Choi, Milton B. Armstrong et al. Pediatric Hand Burns: Thermal, Electrical, Chemical. J Craniofacial Surg 2009; 20: 1045-48. https://doi.org/10.1097/SCS.0b013e3181abb25f
  5. Kim DC, Lee R et al. Epidemiology of Burns in Korea from 2010 to 2014:J Korean Burn Soc 2015; 18: 1-6.
  6. Rosen CL, Adler JN, Rabban JT, et al. Early predictors of myoglobinuira and acute renal failure following electrical injury . J Emerg Med 1999; 17: 783-89. https://doi.org/10.1016/S0736-4679(99)00084-0
  7. Bernstein T: Electrical injury: Electrical engineer's perspective and an historical review. Ann NY Acad Sci 1994; 720: 1-10. https://doi.org/10.1111/j.1749-6632.1994.tb30430.x
  8. Fish R: Electric shock: Part I. Physics and pathophysiology. J Emerg Med 1993; 11: 309-12. https://doi.org/10.1016/0736-4679(93)90051-8
  9. D.leibovici, J.Shemer, S.C Shapira. Electrical injuries:current concepts Injury 1995; 26: 623-27.
  10. Fish R. Electricl shok Part 1: Physics and pathophysiology. J Emerg Med 1993; 11: 457-62. https://doi.org/10.1016/0736-4679(93)90250-B
  11. Esses SI, Peters WJ. Electrical burns: Pathophysiology and complications. Can J Surg 1981; 24: 11-4.
  12. Baker MD, Chiaveillo C. Household electricl injuries in children-epidemiology and identification of avoidable hazards. Am J Dis Child 1989; 143: 59. https://doi.org/10.1001/archpedi.1989.02150130069017
  13. Helou BN, Carlson RW. Electrical and lightning injuries. In: Carlson RQ, Geheb M, eds. Principles & Practice of Medical Intensive Care. Philadelphia: WB Saunders 1993: 1645-46.
  14. Cooper MA. Emergent care of lightning and electrical injuries. Semin Neurol 1995; 15: 268-78. https://doi.org/10.1055/s-2008-1041032
  15. Esther H. Chen, Amit Sareen: Do Childrens Require ECG Evaluation and Inpatient Telemetry After Household Electrical Exposures? Ann Emerg Med 2007; 49: 64-7. https://doi.org/10.1016/j.annemergmed.2006.05.004
  16. Lee SB. Clinical Presentation of heart Disease in Infants and Children. J Korean Pediatr Soc 1997; 40: 301-6.
  17. Noh CI. ECG for the General Pediatricians: Practical Approach to children with Apparently Normal Physical Exam and Normal ECGS. J Korean Pediatr Cardiol Soc. 2006; 10: 402-7.
  18. Ami Shan, Srnivasan Suresh, et al. Epidemiology and Profile of Pediatric Burns In a Large Referral Center 2011; 50: 391-5. https://doi.org/10.1177/0009922810390677
  19. Liquiang Zhu, Ling Liu et al. Hospitalized Pediatric Burns in North China: A 10-year epidemiologic review. Burns 2013; 39: 1004-11. https://doi.org/10.1016/j.burns.2012.12.014
  20. Cooper MA. Lightning injuries: Prognostic signs for death. Ann Emerg Med 1980; 9: 134-8. https://doi.org/10.1016/S0196-0644(80)80268-X
  21. Resnik BI, Welti CV. Lichtenberg figures. Am J Forensic Med Pathol 1996; 17: 99-102. https://doi.org/10.1097/00000433-199606000-00002
  22. lightning injuries. Semin Neurol 15: 241-55.