High voltage electrical injuries
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Electrical Injury And The Frequency Of Cardiac Complications
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Late complications of high
Perforation of the transverse colon in a patient with a major thermal injury. There was no concomitant trauma. An abdominal Xray on day 8 revealed free air under the diaphragm Fig. No other evidence of ischemia or perforation was detected. Abdominal X-ray on day 8 after injury showing free intraperitoneal air arrows. However, anal sphincter tone was intact, as were anal stretch, bladder function and bulbocavernosus reflex. Pathophysiologic mechanisms include mucosal atrophy, change in digestive absorption, increased intestinal permeability and decreased gut blood flow. He made a rapid recovery and his clinical condition remained stable. Manifestations are variable and presentation is confounding, but current flow path can constitute a precious source of information to predict complications in the late phase of management. Interleukin-8 is elevated in cerebrospinal fluid following high-voltage electrical injury with lateonset paraplegia suggesting neuronal damage at the microlevel as causative factor.
Delayed complications of electrical burns are mostly unexpected, and the link between the injury and the symptoms often goes unrecognized. A possible relation.
Classifications of electrical injuries generally focus on the power source ( lightning or electrical), voltage (high or low voltage), and type of.
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