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颅骨全层高压电烧伤并脑挫裂伤及颅内感染的治疗 被引量:11

Treatment of full-thickness electric burn of skull combinedwith cerebral contusion and intracranial infection
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摘要 1病历摘要 患者男,28岁。在约8m高处作业时双手不慎与10 kV高压电线接触,致身体多处烧伤并坠落,着地后昏迷约10 min。被送至当地医院治疗,CT检查示双侧枕部硬脑膜外血肿、左侧枕叶挫裂伤,给予抗休克、左上肢切开减张等治疗。伤后Sd转入我院。 This article reports che treatment of a patientffering from full-thickness electric burn of skull combined with cerebral contusion and intracranial infection to provide experience in treating such patients. Based on deLailed analysis on patient's condition and CT results, several operations of' surgery and anti-infection treatment were performed on the patient. Thewounds healed 6 weeks after injury. The skull def'ect was repaired with three-dimensionally reconstructed titanium mesh of computer-aided design two years after wound healing. The treatment of full-thickness electric hurn of skull combined with cere- bral contusion was quite difficult. The timing and mode of operation were very important. Perioperative prevention and treatment of intracranial infection were essential to save the life of the patient. In che event of intracranial infection, effective systemic use of antibiotic.s, cerebrospinal fluid drainage, intrathecal injection of drugs, and the application of other comprehensive measures could ensure the success of treatment.
出处 《中华烧伤杂志》 CAS CSCD 北大核心 2012年第2期116-118,共3页 Chinese Journal of Burns
关键词 高压电烧伤 医院治疗 脑挫裂伤 颅内感染 全层 颅骨 硬脑膜外血肿 高处作业 Burns, eleclric Skull Cerebral contusion Intracranial infection
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