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Rehabilitation Practice and Science

Translated Title

電傷之臨床研究

Abstract

Electrical injuries, compared to fire or scald burns, occur infrequently but often result in amputations causing disabilities. A retrospective study was undertaken to present some statistical data and determine the correlation of serum creatinine kinase (CK) level and creatine kinase myocardial band isoenzyme (CK-MB) level with treatment, morbidity and outcome. From January 1995 to December 1996, thirty-six electrical burn patients were admitted to our hospital. Thirty-four of these patients were men and two were women, and the mean age was 31.3 years old. There were 27 high-voltage injuries and 9 low-voltage injuries. Twenty-three patients had a total of 61 surgeries, including four amputations. High levels of serum CK were associated with the length of hospitalization, surgical intervention and amputation. Of the twenty-one patients with elevated CK-MB levels, no patient had clinical evidences of myocardial infarction. Thirty-five patients survived and the mortality rate was 3%. We conclude that there is an association between elevated serum CK levels and the severity of electrical injuries. High levels of serum CK indicate longer hospitalization and greater risk of surgical intervention or amputation.

Language

Traditional Chinese

First Page

17

Last Page

21

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