電撃傷の1例  [in Japanese] A Case of Electrical Injury  [in Japanese]

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Abstract

土木作業中に200V電圧の電流で感電し受傷した42歳男性の電撃傷を報告した。両前腕,右手背に電流斑を認め,右側は手背より流入し前腕より流出し,左側はスイッチより流入し前腕より流出したと考えた。局所的な筋組織の損傷程度,範囲の確定には,MRIが有用であった。減張切開術,デブリードマンおよび人工真皮貼付と全層植皮術を二期的に施行した。術後リハビリを施行し,軽度手指関節の拘縮を認めるが運動機能はほぼ改善した。

We report a case of electric shock injury in a 42-year old man who was electrocuted with a current of 200-V voltage while performing civil engineering work. Electric current spots were observed on both his right and left forearms and the back of his right hand, suggesting that the electric current entered through the back of the hand, exiting from the forearm on the right side, and through the switch to the palm, and then exiting from the forearm on the left side. We performed an MRI, which provided confirmation of the degree and range of local muscular tissue damage. A relaxation incision, debridement and the attachment of an artificial dermis preceded full-thickness grafting. Following postsurgical rehabilitation, a mild contracture of finger joints was observed, but the motor functions were observed to have significantly improved.

Journal

  • Nishi Nihon Hifuka

    Nishi Nihon Hifuka 65(3), 234-236, 2003-06-01

    Western Division of Japanese Dermatological Association

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Cited by:  1

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