THNG TCH do IN - st

TN THNG DO IN

in kh quyn (st nh).

in nhn to:

in xoay chiu.

in mt chiu.

in trng c cng cao.

THNG TCH IN
Nng lng in gy hi cho c th do:

Tc ng trc tip

Qua t trng

Khng kh b ION ho

Do sng n

Bng, chy

Chn thng phi hp.

hon cnh xy ra

in sinh hot: s dng, t s cha

in, ri ro.
Tr em, ngi gi.
Trong sn xut, xy dng.
Vi phm hnh lang li in.
in kh quyn (st nh).

Cc yu t nh hng

in th, Cng , Tn s, in tr (R vt
dn, R c th), Thi gian tip xc.
Tc ng ca in trng vo trc c th
(ch yu l trc in tim).
Tc ng ti ch :
Di dng nhit nng
C nng
Phn hu in gii
Ton thn :
Thn kinh, tim mch, h hp, bin chng.

C ch cht do in

Rung tht.
Lit h hp: do c ch
trung tm HH

Din bin mun

Shock bng in
Nhim trng, nhim trng huyt
Suy a tng.

DIN BIN MUN

Tn thng c : Tc ng mun hn,

hay gp ph n-chy mu. Khi hoi t
c trn din rng gy rhabdomyolysis suy thn.

Rut : Co nh cc quai rut, thiu mu

hoi t v c th gy thng rut

nhn din tn thng

Xc nh hon cnh lin quan n in.

Cp cu ngay theo phc cu cha BN b

in git.

Xc nh im in vo, ra (tm vt bng

in).

X l cc thng tch phi hp.

nhn din tn thng

B phn no ca c th tip xc vi dng

in ?

c im dy dn, vt dn in c
ph hp vi du in trn c th hay
khng ?

Xc nh nguyn nhn t vong c ng

l do in hay khng ?

Du in vo ( vt bng
in )

Vng da mm: Vt bng thng r, mu

xm en, c khi chy thnh than,hnh
loang l, c khi rn nt da.

Vng da cng: mu xm trng, hoc

vng xm, c khi nu en.

c im chung: S cng, y lm, lng

tc b chy qun, c khi gi li hnh nh
ca vt dn in. Cn ch ghi nhn
v tr vt bng in so vi gt chn.

Vt in ra

Khng r rng, c khi ch l vt i mu trn

da.

Hay gp gan bn chn hai bn

C th c hnh nh tt chn nu ng trong

nc.

Hoc ni tip xc theo ng i ca dng

in

C khi ch r trn giy dp, qun o hoc trn

hin trng.

Vt chy bng do in

Gp trng hp in cao th

Bng rng, su, c th chy thnh than

Nu nn nhn sng, s c hoi t lan rng

do thn kinh vn mch b ph hu, ng
vn protein, lp tc lng mch

C trng hp chy t ri chi th.

Trong st nh: vt chy bng c hnh

cnh cy.

Tn thng bn trong

Xung huyt mnh cc ph tng

Tim co chc cng thnh mt khi, c th

chy mu c tim.

Phi : du hiu ca ngt, chy mu phi.

Tn thng theo ng in i trong c

th.

Tn thng phi hp

Vt sy st, t mu, vt rch da

Dp v tng.

CTSN

Xng : Gy v xng do ng t cao

hoc do co git c, trt khp

Xc nh vt bng
Xt
nghim m bnh hc c hnh nh:
in

Xut hin nhng hc sng cha dch ph lp

thng b v trung b, t bo ca lp y v lp
t bo gai c nhn b ko di, to thnh hnh
cho gc so vi mt da.

Mch mu lp trung b rn cng cha y HC.

XN ho m: tm vi vt kim loi ca vt dn in.

Cc xt nghim b sung

Ly mu v nc tiu tm Myoglobin.

Ly mu v ph tng tm c cht

Thu qun o XN trn knh hin vi soi

ni

Phng php quang ph: tm vi vt kim

loi ca vt dn.

Phn bit vi bng nhit

xt nghim m bnh
hc

Lightning Injuries (St nh)

St nh
Hng nm # 150-300 ngi
cht v st nh (M).
Cht do st nh chim #
30% s ngi b tc ng bi
st
C th mt thi gian sau mi
t vong, do bin chng.

ST TRONG KH QUYN

L hin tng

phng tia la in
trong thin nhin.

Khi gp vt cn gy

ra ting n, to nn
chy (bng nu gp
c th sng)

s nguy him ca dng in kh

quyn

4 y t gy nguy him l :
Dng in cao th

Nhit lng cao

T trng mnh

Sc n ln

NGUYN NHN

C ch gy thng tch
St nh trc
tip

Tip xc vi vt dn
Nhim t trng mnh
Hiu ng sng Chn
n thng c
hc