Mustafa Özer ULUKAN, Ertan HALAÇ, Ali Fuat IŞIK, Rıdvan ALACA, Harun TUĞCU, İlknur TUĞCU, Birol DEMİREL

Non-contct high voltage electrical injury through the antenna of a portable communication device: A case report

Elektrik yaralanmaları, elektriğin termal ve termal olmayan etkilerine bağlı olarak yüksek mortalite ve morbiditeye sahiptir. Yüksek voltaj yaralanmaları; elektriksel potansiyel, elektrik kaynağı ile yer ya da yere yakın bir iletken arasındaki hava direncini aştığında meydana gelebilir. Olgumuz, yüksek voltaj yaralanmasına maruz kalan 21 yaşında bir erkek olup 3 metre anteni olan taşınabilir bir iletişim cihazına teması söz konusudur. Bu cihaz, 31500 voltluk bir elektrik nakil hattının 4 metre altına yerleştirilmiştir. Olgunun, ellerinde, kafasında ve boynunda tam kat ve kısmi yanıklarla birlikte olan giriş yaraları mevcut olup çıkış yaraları ise her iki bacakta tespit edildi. Olgu, 3 gün komada kaldı ve sol kulağın parsiyel rezeksiyonu ve bilateral diz altı amputasyonu yapılması gerekti. 2 yıllık bir rehabilitasyon programında tetrapleji, sol gözde katarakt ve üretral darlık gelişti. Yüksek voltaj yaralanmalarına bağlı ölümler ya da. yaralanmalar sıklıkla kaza sonucu meydana gelmektedir. Fakat bunlar sadece çalışma sahaları ile sınırlı değildir. Bu olgular yalnızca heterojen kliniğe sahip olmayıp aynı zamanda adli araştırmalarda özel bir zorluğa sahiptir.

Portatif iletişim cihazı anteninten temas olmaksızın yüksek voltaj elektrik yaralanması: Bir olgu sunumu

Electrical injuries cause high mortality and morbidity due to the thermal and non-thermal effects of electricity. High voltage injuries may occur when the electrical potential exceeds the resistance of the air between the source of electricity and a conductor at or near earth potential. We report a 21-year-old man who sustained severe high voltage injuries. This young man touched a portable communication device that had a 3 m antenna. The device was placed approximately 4 m below a 31,500 V high-voltage transmission line on a misty night. He had full and partial thickness burns with entry wounds through the hands, head, and neck. The exit wounds were on both feet. He remained in a coma for three days and required partial resection of the left ear and bilateral below the knee amputation. Within the rehabilitation period of two years he developed tetraplegia, cataract of the left eye, and urethral stricture. Deaths or injuries due to high-voltage electrocution are most frequently accidental but they are not limited to workplaces. These cases are not only clinically heterogeneous but also pose specific difficulties in forensic investigations. We provide a brief discussion of these aspects.

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