Background:

Based on the good results obtained using heparin in ignited burns, we used it in electrical burns.

Material and methods:

From 2010 to 2013, 31 patients aged 16 to 52 years were treated. Lesions were caused by a high-voltage current in 26 patients and by a low-voltage current in 5. Electrocardiograms and basic studies were carried out in all patients. In addition to traditional treatment, they received intravenous, subcutaneous, and topical heparin. Antibiotics were used and general surgery or reconstructive procedures were performed.

Results:

Lesions were located in the extremities, thorax, and skull; mean burn surface was 13.5 cm2. In 5 patients there were electrocardiogram changes; such changes were reversible in 4 patients, whereas one patient died the day after his arrival. No complications resulting from the use of heparin were observed and heparin was an effective analgesic. Three major and two minor amputations were performed. One skin debridement was done due to necrosis of the sole. A patient with persistent abdominal pain was explored and a diagnosis of reversible ischemic disorder was established. Six fasciotomies were performed. Average hospitalization duration was 18.6 days. At 3-month follow up, healing was adequate, with minimal retraction and keloids.

Conclusion:

Adding non-fractioned heparin is an inexpensive measure that improves the results of the conventional treatment of electrical burns, shortens hospitalization stay, and reduces costs.

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