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一名接受改良双侧半骨盆切除术及右臂关节离断术治疗的电烧伤患者。

A patient with an electrical burn treated by modified bilateral hemipelvectomy and disarticulation of the right arm.

作者信息

Still J M, Law E, Friedman B, Gates C E

机构信息

Joseph M. Still Burn Center, Doctors Hospital, Augusta, Georgia, USA.

出版信息

J Burn Care Rehabil. 2001 Sep-Oct;22(5):321-4. doi: 10.1097/00004630-200109000-00005.

DOI:10.1097/00004630-200109000-00005
PMID:11570531
Abstract

A 23-year-old Hispanic worker sustained an electrical injury to 45% of his body when a crane hit a power line. Amputations of both legs, with bilateral partial hemipelvectomies, were required. A disarticulation of the right arm at the shoulder was also preformed. Resection of necrotic bowel, debridement of 95% of the abdominal wall, and resection of the genitalia was eventually required, with later reconstruction of the abdominal wall. After wound healing was complete, the patient was fitted with Jobst garments. A customized bucket prosthesis with a temperature control, to allow sitting upright, was provided. An electric wheel chair and a myoelectronic prosthetic arm were supplied. Rehabilitation was begun early.

摘要

一名23岁的西班牙裔工人在起重机撞到电线时,身体45%遭受电击伤。双腿截肢,同时进行双侧部分半骨盆切除术。右臂也在肩部进行了关节离断术。最终需要切除坏死肠段,对95%的腹壁进行清创,并切除生殖器,随后进行腹壁重建。伤口完全愈合后,为患者配备了乔斯特压力衣。提供了一个定制的带温度控制装置的桶状假肢,以便患者能坐直。还提供了一辆电动轮椅和一个肌电假臂。康复治疗尽早开始。

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