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负压封闭引流治疗电击伤患者肢体迟发性坏死一例 被引量:4

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摘要 患者男,26岁,2015年4月16日在工作中不慎被高压电击伤双上肢、左下肢、左臀部。接触高压电为10 kV,接触时间约2 s。患者伤后无昏迷,于兰州军区兰州总医院注射破伤风抗毒素,未予补液治疗。于伤后15 h送至笔者单位。体格检查示,患者烧伤创面分布于双上肢、左下肢、左臀部等全身多处;右手、右腕部可见3%TBSA创面,环状坏死痂附着,痂呈焦黄色,深度为Ⅲ度,右手、右前臂肿胀明显,颜色青紫,右侧桡动脉、尺动脉均未触及搏动;左小腿、左足可见2%TBSA创面,创面表皮剥脱,基底呈焦黄色,深度为Ⅲ度,左足部明显肿胀,色暗红,左侧足背动脉可触及搏动;右侧腋窝、肘窝部可见1%TBSA创面,水疱明显,基底红白相间,深度为深Ⅱ度;左手、左前臂、左臀部可见2%TBSA散在创面,表皮已撕脱,基底红白相间,深度为深Ⅱ度。
出处 《中华烧伤杂志》 CAS CSCD 北大核心 2017年第4期247-248,共2页 Chinese Journal of Burns
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