1/10. pneumothorax due to electrical burn.A 25-year-old male developed early as well as delayed (15 days post burn) pneumothorax of right side following high voltage, 1100 KV, electrical burn of the right side of the chest wall. diagnosis was established by clinical examination and chest x-ray. Intercostal tube drainage with underwater seal relieved the patient of pneumothorax.- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |
2/10. Electric cataract: a case report and review of the literature.A case of electrically induced cataract in both eyes in a 12-year-old boy, after a high-voltage electric shock, is reported. He sustained skin burns on the neck, chest, abdomen, and inner left arm. The cataract developed first in the left eye and later on in the right eye. The child regained normal vision in both eyes after cataract extraction and aphakic correction with spectacles. The need for awareness of the possibility of this complication and screening of all cases of electrical injuries is stressed. The majority of cases respond well to surgery, but final visual acuity will depend on the other ocular damage due to electrical current. The clinical features and pathogenesis of this condition are briefly reviewed.- - - - - - - - - - ranking = 0.5keywords = chest (Clic here for more details about this article) |
3/10. Experience of the treatment of severe electric burns on special parts of the body.The treatment in these eight cases with severe electric burns on special parts of the body was successful. Our experience can be summarized as follows: (1) The role of the immediate measures including resuscitation at the scene of the accident cannot be understated. If the patient presents with a complex injury such as open pneumothorax, first aid should be provided immediately and then the patient should be transferred to a specialized treatment center. (2) General conditions such as the presence of shock, water-electrolyte balance, renal function, and others should be continuously monitored. (3) Antibiotics should be suitably administered and combined with antianaerobic drugs. (4) For different wound sites, different plans of treatment, including various immediate and delayed procedures, could be appropriate. In life-threatening cases such as exposed carotid artery, perforative injury of the chest wall, spinal cord damage, and others, first-stage repair using skin flap or myocutaneous flap must be performed after early debridement. For other wound sites, such as oral area and tongue, eye socket, and penis, second-stage reconstruction may be more suitable for better cosmetic appearance and function. (5) Adequate nutritional supply and early treatment of anemia may expedite wound healing.- - - - - - - - - - ranking = 0.5keywords = chest (Clic here for more details about this article) |
4/10. Verdoglobinuria phenomenon in severe electrical burns.Verdoglobinuria is considered to be an ominous sign of pseudomonas aeruginosa septicaemia in burns. No report of the survival of a case with this phenomenon could be found in the literature. Stone et al. (1964) first reported verdoglobinuria as an important diagnostic basis for P. aeruginosa septicaemia in burns. A patient with high-tension electrical injury was admitted to our hospital burn department in 1977. Verdoglobinuria occurred. This patient is reported as follows. There was a large defect in the left chest wall with exposure of the heart and secondary P. aeruginosa pyothorax which happened during the early stage of injury. It led to septicopyraemic shock. The patient's urine was examined under ultraviolet rays, the fluorescence was ultrapositive. Verdoglobinuria was positive proof. After active measures were administered, the patient was out of danger from this septicopyraemic shock. The metabolism mechanism of verdoglobin, diagnostic effect of verdoglobinuria on P. aeruginosa septicaemia in severe burns and treatment are discussed.- - - - - - - - - - ranking = 0.5keywords = chest (Clic here for more details about this article) |
5/10. Two cases of burns caused by misuse of coagulation unit and monitoring.Two cases of severe burns with monitoring apparatus are described. In a female patient of 45 years, a severe third degree burn occurred by misuse of coagulation apparatus (inversion of the poles of an older Bovie apparatus), in the presence of a non-floating ECG monitoring device. A high intensity current was established from the coagulation unit, via the earth plate under the buttocks, to the indifferent electrode placed on the chest, where burns occurred. In an 8 month female baby, having laparotomy for a neuroblastoma, a third degree burn of 5 cm diameter occurred with a non-floating ECG monitor. A twin-wired disposable earth plate was placed just beneath the indifferent ECG electrode on the leg. A burning current was established between the Bovie coagulation unit and the monitor.- - - - - - - - - - ranking = 0.5keywords = chest (Clic here for more details about this article) |
6/10. Reconstruction of a devastating electric injury: case-report.In the submitted case-report the authors describe a combination of a reconstruction operation with an orthopaedic approach to a devastating injury of the shoulder and elbow in a 26-year-old patient after an electric current injury. The total extent of the skin damage was 13% T.B.S.A. with localization on the right side of the chest, right arm, left elbow and shoulder. After fascial excisions the proximal part of the humerus was amputated with fixation by means of cerclage to the scapula. This defect was covered with the musculus latissimus dorsi flap and the defect on the elbow was covered by a tube pedicle flap.- - - - - - - - - - ranking = 0.5keywords = chest (Clic here for more details about this article) |
7/10. An unusual case of lightning injury: a melted silver necklace causing a full thickness linear burn.An unusual case of lightning injury is shown. Flash-over current caused the fusion of a silver necklace producing a linear full thickness burn in the neck and chest with the silver welded throughout the wound.- - - - - - - - - - ranking = 0.5keywords = chest (Clic here for more details about this article) |
8/10. Costal osteomyelitis due to an electrical burn.This article describes the case of a patient who suffered an electrical full thickness burn of the chest wall and a concomitant osteomyelitic complication of two ribs. A review of the existing literature on bone and joint changes after burns is presented. osteomyelitis of ribs must be kept in mind while treating patients for chest wall burns.- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |
9/10. Immediate reconstruction of chest and abdominal wall defect following high voltage electrical injury.The report describes a postelectrical burn lateral chest wall and ipsilateral upper abdominal wall defect, successfully managed by immediate adequate debridement and use of a latissimus dorsi myocutaneous flap.- - - - - - - - - - ranking = 2.5keywords = chest (Clic here for more details about this article) |
10/10. Death from electrocution during autoerotic practice: case report and review of the literature.A fatal case of electrocution occurring during autoerotic practice is described. A plausible reconstruction of the accident involves attachment of one electrode to the anus and accidental touching of the other electrode with hand and chest when attempting to attach it to the penis. Death was caused by myocardial fibrillation. Both cable and pornographic literature were obviously hidden by the parents of the deceased to conceal the actual cause of death. The accident is compared to cases found in the literature.- - - - - - - - - - ranking = 0.5keywords = chest (Clic here for more details about this article) |
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