Author |
김태형(Tae Hyung Kim),소용선(Yong Seon So),권기현(Ki Hyeon Kweon),한상웅(Sang Woong Han),김석환(Seok Hwan Kim),김종순(Jong Soon Kim),한승수(Seung Soo Han), |
Abstract |
Bone scan is known to be an effective tool for
observing the state of soft tissues and bones of
electric bum patients. It is also used for observing
the progress of patients after debridement or skin
graft as well as determing to amputate specific body
parts. To evaluate bone scan's role in electric bum, we
analyzed bone scan 37 patients with electric burn.
Among the 37 patients, 8 of 37 were injured in low
voltage and 29 of them in high voltage. 27 patients
received the electrical input through the hand, 6
through the scalp, 2 through the shoulder, 1 through
the left chest wall and 1 through the left inguinal
area. Among 29 patients received high voltage, 22
patients had the electrical output through the foot, 3
through the hand, 2 through the shoulder, 1 through the
buttock and 1 through the left chest wall. Bone scans
revealed cellulitis in 37 patients with 47 sites,
osteomyelitis in 15 patients with 15 sites & bone
defects in 4 patients with 4 sites. In 4 patients with
skin graft or skin flap, follow up bone scan showed
improvements of bony uptake in preoperatively bony
defect area and all of them were healed without
complication There were 2 cases in which uptake
increased in the myocardium, 1 in the liver and 6 in
the kidney, however, ssrum calcium level, EKG, cardiac
enzyme, liver and renal function tests were normal. In
conclusion, bone scans are helpful in the assessment of
injury sites after electrical insult and in
differential diagnosis of cellulitis and osteomyelitis.
It is also useful tool of assessment after skin graft
or skin flap, however, it should be further evaluated
about internal organ damage. |