대한핵의학회지 (1967년~2009년)
대한핵의학회지 1996;30(1)130~9
원저 : 전기화상에서 골스캔의 유용성 ( The Usefulness of Bone Scan in Electric Burns )
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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),
Affiliation
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.

Keyword Electric burn, Bone Scan
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