摘要
虽然人们对电的安全性已有较多认识,但在我国高压电烧伤事故仍时有发生。鉴于高压电烧伤的发病机制,其有多个入口、出口,往往涉及多个部位,范围广、程度深,呈立体性、毁损性损伤,涉及重要组织及脏器等特征,临床治疗具有挑战性。本文从多部位高压电烧伤的评估与全身治疗、常见的高压电烧伤部位、皮瓣供区的合理选择、多部位电烧伤修复方法的选择、电烧伤截肢原则、毁损性电烧伤创面修复需要加强多学科合作、毁损性电烧伤的功能重建与康复几个方面,较为系统地介绍多部位毁损性高压电烧伤的治疗,以引起大家关注与重视。
Although people have a better understanding of the safety of electricity,high-voltage electrical burns accidents still occur in our country.In view of the pathogenesis of high-voltage electrical burns,there are many entrances and exits,and high-voltage electrical burns often involve many sites,it is challenging in clinical treatment.This article systematically introduces the treatment of multi-site destructive high-voltage electrical burns from the aspects of evaluation and systemic treatment of multi-site electrical burns,common high-voltage electrical burn sites,rational selection of flap donor sites,selection of repair methods for multi-site electrical burns,amputation principles for electrical burns,the need for multidisciplinary cooperation in repairing the destructive electrical burn wounds,functional reconstruction and rehabilitation of destructive electrical burns,in order to attract widespread attention.
作者
沈余明
Yuming Shen(Department of Burns,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China)
出处
《中华损伤与修复杂志（电子版）》
CAS
2024年第2期93-98,共6页
Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
基金
基金资助:国家重点研发计划(2022YFC2403000)。
关键词
多部位
电烧伤
治疗
Multi-site
Electrical burns
Treatment
