Shen Z, Xiang D, Wang N
Department of Burns, Beijing Jishuitan Hospital, Beijing 100035.
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1999 Mar;15(2):115-6.
To reduce amputation rate of most severe pattern (Type III) of electrical burns of wrist.
Early wrist decompression followed by selective transfusion of dextran, PGE1, low molecule heparin to prevent thrombosis of injured radial and ulnar arteries, vascular bridging across the distal forearm and wrist to the hand soon after the appearance of circulatory failure to the hand. Free tissue transfer, especially the use of greater omentum and the innovated abdominal flaps, to repair the circumferential wounds of the wrists are recommended.
A group of 102 limbs of 90 patients were treated in the last 10 years, among them the amputation rate of most severe pattern (Type III) of electrical burns of wrists was significantly reduced from 80% to 38.9% compared with 10 years before.
A comprehensive treatment including the use of anticoagulation drugs, vascular reconstruction, sophisticated surgical repair of the wound are effective in reducing the amputation rate of electrical burns of wrists.
降低腕部电烧伤最严重类型（Ⅲ型）的截肢率。
早期进行腕部减压，随后选择性输注右旋糖酐、前列腺素E1、低分子肝素以预防桡动脉和尺动脉损伤后血栓形成，在手部出现循环衰竭后尽快进行跨越前臂远端和腕部至手部的血管搭桥。推荐采用游离组织移植，尤其是使用大网膜和改良腹部皮瓣修复腕部环形创面。
在过去10年中，对90例患者的102条肢体进行了治疗，其中腕部电烧伤最严重类型（Ⅲ型）的截肢率与10年前相比，从80%显著降至38.9%。
包括使用抗凝药物、血管重建、精细的创面手术修复在内的综合治疗，可有效降低腕部电烧伤的截肢率。
