36.000 Volt Elektrik Çarpması: Kompartman Sendromu ve Rabdomiyoliz

Yüksek voltajlı elektrik yaralanmaları multisistemik etkileri olan, morbidite ve mortalitesi yüksek olan yaralanmalardır. Derin yanıklar, kompartman sendromuna bağlı organ kayıpları, rabdomiyolize bağlı böbrek yetmezliği ve çoklu organ yetmezliği sık görülen komplikasyonlardandır. Biz bu olgu sunumu ile yüksek voltaj akıma maruz kalmış hastada ani gelişen rabdomiyoliz ve kompartman sendromunun erken tanı, erken cerrahi ve hızlı resusitasyon sonuçlarını literatür eşliğinde sunmayı amaçladık.

Anahtar Kelimeler:

yüksek voltaj, kom, rab

36.000 Volt Electric Shock: Compartman Syndrome and Rhabdomyolisis

High voltage electric shock are the injuries that has a high risk of morbidity and mortality. Most common complications are, deep burns, organ failure due to compartment syndrome, renal failure due to rhabdomyolisis and multiple organ failure. In this report we aim to present a case who was exposed 36.000 volt electric shock and developed sudden rhabdomyolysis and compartment syndrome that early diagnosed and treated with surgery and fast resuscitation.

Keywords:

high voltage, compartment syndrome,

PDF

___

Referans1. Shih JG, Shahrokhi S, Jeschke MG. Review of Adult Electrical Burn Injury Outcomes Worldwide: An Analysis of Low-Voltage vs High-Voltage Electrical Injury. J Burn Care Res. 2017 Jan/Feb;38(1):e293-e298. doi: 10.1097/BCR.0000000000000373. Referans2. Huei TJ, Mohd Yussof SJ, Lip HTC, Salina I. Case report of a high voltage electrical injury and review of the indications for early fasciotomy in limb salvage of an electrically injured limb. Ann Burns Fire Disasters. 2017 Jun 30;30(2):150-153. Referans3. Ramly EP, MacFie R, Eshraghi N, Cole F, Engel D. Bowel Necrosis and 3 Limb Amputation From High-Voltage Electrical Injury. J Burn Care Res. 2017 Jun 28. doi: 10.1097/BCR.0000000000000612. Referans4. Cancio LC, Jimenez-Reyna JF, Barillo DJ, Walker SC, McManus AT, Vaughan GM. One hundred ninety-five cases of high-voltage electric injury. J Burn Care Rehabil. 2005 Jul-Aug;26(4):331-40. Referans5. Rosen CL, Adler JN, Rabban JT, Sethi RK, Arkoff L, Blair JA, Sheridan R. Early predictors of myoglobinuria and acute renal failure following electrical injury. J Emerg Med. 1999 Sep-Oct;17(5):783-9.