nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2019-8-4-443-450nmp-752Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS OF LITERATUREЭлектротравма (обзор литературы)Electrical Injury (a Literature Review)https://orcid.org/0000-0002-9862-0229ЖирковаЕ. А.ZhirkovaE. A.

Жиркова Елена Александровна, кандидат медицинских наук, научный сотрудник отделения острых термических поражений 

Candidate of Medical Sciences, Leading Researcher of the Department of Acute Thermal Lesions

Cand. Med. Sci.

ZhirkovaEA@sklif.mos.ruСпиридоноваТ. Г.SpiridonovaT. G.

доктор медицинских наук, научный консультант отделения острых термических поражений

https://orcid.org/000-0001-7070-8512

Doctor of Medical Sciences, Scientific Consultant of the Department of Acute Thermal Lesions

https://orchid.org/000-0001-7070-8512

https://orcid.org/0000-0003-3742-6374СачковА. В.SachkovA. V.

кандидат медицинских наук, заведующий научным отделением острых термических поражений

Candidate of Medical Sciences, Head of the Scientific Department of Acute Thermal Lesions

https://orcid.org/0000-0002-1538-0515СветловК. В.SvetlovK. V.

кандидат медицинских наук, научный сотрудник отделения острых термических поражений

Candidate of Medical Sciences, Researcher of the Department of Acute Thermal Lesions

ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»РоссияN.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow health DepartmentRussian Federation20191601202084443450Copyright © Жиркова Е.А., Спиридонова Т.Г., Сачков А.В., Светлов К.В., 20202020Жиркова Е.А., Спиридонова Т.Г., Сачков А.В., Светлов К.В.Zhirkova E.A., Spiridonova T.G., Sachkov A.V., Svetlov K.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/752

Проведенный анализ отечественных и зарубежных источников литературы показал, что проблема диагностики и лечения электротравмы, как и в начале ХХ века, остается актуальной. За прошедшее столетие механизмы воздействия электрического тока на органы и ткани были хорошо изучены. Однако поиск методов диагностики объема повреждений тканей не завершен, а такие методы необходимы, так как призваны помочь в определении объемов хирургического вмешательства. По-прежнему многим больным требуются повторные оперативные вмешательства для полного иссечения некротизированных тканей. У большинства пациентов с тяжелой электротравмой реконструктивные операции проходят в несколько этапов. На сегодняшний день большая часть клинических данных и практических рекомендаций основаны на мнении отдельных экспертов и ограниченных клинических исследованиях.

Авторы заявляют об отсутствии конфликта интересов.

The analysis of domestic and foreign literature sources showed that the problem of diagnosing and treating electrical injuries remained relevant as in the early 20th century. Over the past century, the mechanisms of the effects of electric current on organs and tissues have been well studied. However, the search for methods for diagnosing the volume of tissue damage has not been completed, and such methods are necessary, since they are designed to help determine the volume of surgical intervention. Many patients still require repeated surgical interventions to completely excise necrotic tissue. In most patients with severe electrical trauma, reconstructive surgery takes place in several stages. Today, most clinical data and practical recommendations are based on the opinions of individual experts and limited clinical studies.

Authors declare lack of the conflicts of interests.

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The authors declare that there are no conflicts of interest present.