高压电烧伤（High-voltage electric burn）.docVIP

高压电烧伤（High-voltage electric burn） Electric burn is by direct current through the body, the electric energy is converted into heat energy organization direct heat injury, especially high voltage (1000V) after burn, not only can cause skin necrosis and carbonization, often deep tissue injury is very serious. It is often characterized by small mouth, big bottom, shallow and deep inside. The extent of tissue damage varies with current type, flow rate, frequency, voltage, tissue resistance, skin humidity, duration, contact area, and current path. Low voltage and low frequency electric shock mainly affects the heart and breathing, and there is no important soft tissue damage. High voltage electricity mainly produces severe soft tissue injuries, which may be accompanied or not accompanied by changes in the respiratory system of the heart. The voltage of 40 volts, which has caused the risk of death, but there are still 5 million volt survivor. It is indicated that the path of electric current in human body is mainly determined by voltage. Low voltage current mainly through resistance, the most small path through, high voltage current mainly through contact point and the direct path between the site, generate a large amount of heat, causing direct damage to tissue. Because of the different resistances of various tissues, the effect of converting electric energy into heat energy is also different. Skeletal resistance is relatively high, the power, the skeleton to withstand heat than the surrounding tissue was high, can cause the adjacent skeletal muscle burns due to large artery blood flow velocity can be sufficient to eliminate the heat produced by a current, and muscle nutritional support less susceptible embolism, muscle necrosis. After the electric injury, the capillary permeability increases, the massive interstitial fluid in the interstitial space, causes the fascia compartment internal pressure to increase, is causes the muscle tissue necrosis the important factor. The