摘要
高压电烧伤的治疗较困难，后期功能恢复差，目前治疗无突破性进展。１９８５年１月～１９９６年１月收治９６例电烧伤，早期采用多种组织瓣移植修复，使高压电烧伤截肢率由４６％下降到３０％以下。同时在术后进行康复治疗，使受伤肢体最大限度地恢复了功能及较好外形。２７例获得随访，随访时间平均为２年，肌力均达３级～４级，大多数患者能参加正常工作。认为，伤后２天～５天为手术的最佳时间；应根据伤情、损伤面积、供区血运等选择不同的组织瓣；术后使用高效广谱抗生素预防感染，加强康复治疗。
Highvoltage electric burns is refractory with high rate of amputation (46%) in early stage and unfavorable functional recovery in later stage. Little breakthrough has so far been made in this respect. From Jan. 1985 to Jan. 1996, ninetysix cases with highvoltage burns were treated in our department. Seventyone cases of various tissue flap grafting were applied to treat early electric burns, among which sixtyfour cases were successful. The amputation rate was reduced to 30%. Postoperatively, a longterm rehabilitation training at home was carried out. Most of them achieved a good appearance of the wounded sites and limbs and satisfactory ability to work or selfcare. It was suggested that early thorough debridement of necrosis tissue, careful reservation of living tissue, appropriate choice of tissue flap and postoperative rehabilitation training were of great importance to achieve a good prognosis.
出处
《中国修复重建外科杂志》
CAS
CSCD
1998年第1期26-27,共2页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
电烧伤
组织瓣移植
康复
治疗
Electric burns Tissue flap grafting Rehabilitation therapy
