Case Study Of Hospitalized Patients With Electric Burn In A Hospital In Guangxi In Recent Five Years

Objective Collected 130 hospitalized patients with electrical injuries of the first affiliated hospital of Guangxi medical university nearly five years,and explore the epidemiology and evaluate the results,to provide clinical evidence for developing preventive measures and reducing morbidityMethods We have collected 130 hospitalized patients with electrical burns of the first affiliated hospital of Guangxi medical university and analysed the patient’s gender,electrical injury occurring time,age,social categories,occupation,electrical injury type,mode of electric shock,surgery,length of hospital stay,electric burn area and amputation,cut fingers(toes),death and coma.Results Among the 130 hospitalized patients with electrical injuries,81cases(62.3%)were high-voltage electrical burns,and 49 cases(37.7%)were low-voltage electrical burns.Most of these cases occurred between May and October,with a total of 99 patients(76.2%).There were 115 cases(88.5%)of the male patients.The main age groups were young man(43.8%)and middle-aged people(35.4%).peasant-worker are most vulnerable to electrical injuries,with 34 cases(26.2%)and they were also the most vulnerable to high-voltage electrical burns.Preschool children are vulnerable to low-voltage electrical burns.Among all inpatients,110 patients needed surgical treatmentdue to their illness,accounting for 84.6% of the total number.The main mode of electric shock in patients with high voltage electric burn was contact with high voltage electric wires.There were 62 cases(76.5%),Low voltage electric burn mainly caused by electric shock through socket,19 cases(38.8%).Only one patient died from a high-voltage electrical burn,the death rate is 0.8%.The amputation and cut fingers(toes)rates of high-voltage electrical burns were21.0% and 29.6%,and the amputation and cut fingers(toes)rates of low-voltage electrical burns were 2.0% and 10.2%.The high voltage was directly related to length of hospital stay,burn area,amputation,cut fingers(toes)and coma,and the difference was statistically significant(P<0.05).Conclusions 1.Compared with thermal burns,electric burns are more harmful to patients,often causing severe deep tissue damage and high disability rate.Most patients need multiple surgeries and long hospital stay.2.Compared with low-voltage electric burns,high-voltage electric burns are more likely to result in severe injuries,more difficult treatment,higher costs and longer hospital stay.3.Electricity safety is the most important link to prevent electric burn.Male migrant workers and preschool children are the focus of prevention and control.4.Migrant workers lack knowledge of electricity safety and are the key group of propaganda and education.Children lack the sense of self-protection,which adults need to focus on.Only by standardizing the installation of electric wires,standardizing the operation of electric power and raising people’s awareness of prevention can the safety of electric power be achieved.