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本文报告过去21年间,该院治疗电击伤111例,仅见脊髓电击伤2例。例一,35岁,男,头部撞着高压电线。否认曾有意识障碍。检查发现右侧面、颈、肩及膝部体表灼伤面积10%,虽有右侧面神经麻痹,但神志清楚,四肢均可活动。伤后两天,发现两下肢无力,反射亢进。第四天,发展到四肢瘫。呼吸困难,咳嗽无力,需要呼吸机辅助。两下肢反射活跃,上肢反射消失。
This article reports the past 21 years, the hospital treated 111 cases of electric shock, only 2 cases of spinal cord injury. Example 1, 35 years old, male, head crashes high voltage wire. Denied having had a disturbance of consciousness. Examination found that the right side, neck, shoulder and knee body surface burn area of 10%, although the right facial paralysis, but the conscious, limbs can move. Two days after injury, both lower extremities were found to be weak and hyperreflexia. The fourth day, development of quadriplegia. Dyspnea, weak cough, need ventilator-assisted. Reflex active lower limbs, upper limb reflex disappeared.