Y�ksek gerilime yakalanan elektrik yan�kl� sekiz ya��ndaki �ocu�un sa�kal�m�:  Olgu sunumu

Y�ld�z, T�lay S; A��r, Hakan; Koyuncu, Didem; Solak, Mine; Toker, Kamil

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Y�ksek gerilime yakalanan elektrik yan�kl� sekiz ya��ndaki �ocu�un sa�kal�m�: Olgu sunumu [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2006; 12(4): 326-330

Y�ksek gerilime yakalanan elektrik yan�kl� sekiz ya��ndaki �ocu�un sa�kal�m�: Olgu sunumu

T�lay S Y�ld�z¹, Hakan A��r², Didem Koyuncu¹, Mine Solak¹, Kamil Toker¹
¹Department Of Anaesthesiology And Critical Care, Medicine Faculty Of Kocaeli University, Kocaeli, T�rkiye
²Department Of Plastic And Reconstructive Surgery, Medicine Faculty Of Kocaeli University, Kocaeli, T�rkiye

Bu yaz�da, y�ksek gerilime yakalanmaya ba�l� toplam v�cut y�zey alan�n�n %68'i �ok a��r elektrik yan�kl� sekiz ya��ndaki erkek hastan�n cerrahi yo�un bak�m �nitesinde iyi planlanm�� ve uygulanm�� bir tedavi stratejisi sonras� hayatta kal�m� sunulmaktad�r. �lk olarak genel anestezi alt�nda eskaratomi ve fasiyotomi ameliyatlar� ge�iren hasta hemen takiben cerrahi yo�un bak�m �nitesine al�nd�. Bu ameliyatlara ek olarak, hasta sa� femur desartik�lasyonu ve karde�inden al�nan homogreft ve kendisinden al�nan otogreftlerle k�smi kal�nl�kta deri greftlemelerini i�eren dokuz ameliyat daha ge�irdi. Hasta 59 g�n mekanik ventilat�re ba�l� kald�. Hasta plastik ve rekonstr�ktif cerrahi servisine devredildi�inde tam koopere, hemodinamik olarak stabil ve bilinci tamamen a��k bir durumda idi.

Anahtar Kelimeler: Yan�klar, elektrik/fizyopatoloji/tedavi, �ocuk; y�ksek-gerilim elektrik yan�k hasar�; rekonstr�ktif cerrahi i�lem.

Survival of an eight-year-old child with a very severe high-tension electrical burn injury: a case report

T�lay S Y�ld�z¹, Hakan A��r², Didem Koyuncu¹, Mine Solak¹, Kamil Toker¹
¹Department Of Anaesthesiology And Critical Care, Medicine Faculty Of Kocaeli University, Kocaeli, Turkey
²Department Of Plastic And Reconstructive Surgery, Medicine Faculty Of Kocaeli University, Kocaeli, Turkey

We present the management and survival of an eight-year-old boy with a severe high-tension electrical burn injury of 68% of total body surface area in a surgical intensive care unit, as a result of a well-planned and applied treatment strategy. Subsequent to escharotomy and fasciotomy operations under general anesthesia, the patient was taken into the surgical intensive care unit. In addition, patient underwent nine more operations including right femur disarticulation and split-thickness skin graftings with homografts from his brother and autografts. The patient was connected to mechanical ventilator for 59 days. By the time the patient was transferred to plastic and reconstructive surgery ward, he was fully conscious, cooperated and hemodynamically stable.

Keywords: Burns, electric/pathophysiology/therapy, child; hightension electrical burn injury; reconstructive surgical procedures.

T�lay S Y�ld�z, Hakan A��r, Didem Koyuncu, Mine Solak, Kamil Toker. Survival of an eight-year-old child with a very severe high-tension electrical burn injury: a case report. Ulus Travma Acil Cerrahi Derg. 2006; 12(4): 326-330

Sorumlu Yazar: T�lay S Y�ld�z, T�rkiye
Makale Dili: �ngilizce

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