电损伤早期并发症的处理及手部损伤的修复
Management of early complications of the electrical injury and repair of the injured hands.
作者信息
Liang Da-Rong, Xie You-Fu, Li Xiao-Jian
机构信息
Department of Burns and Plastic Surgery, The Fourth Affiliated Hospital, Jinan University, Guangzhou 510220, China.
出版信息
Di Yi Jun Yi Da Xue Xue Bao. 2002 Oct;22(10):955-6.
OBJECTIVE
To explore the management of early complications and repair of hand injuries in electrically injured patients.
METHODS
Forty-five patients with electrical injuries admitted during 1995 and 2001 were analyzed retrospectively in terms of the incidences of early complications and the deformity of the injured hands repaired using different approaches.
RESULTS
In the order of incidence, the complications arising in the early stages after electrical injuries included electric shock, hypovolemic shock, cardiac dysfunction, hemorrhage of the digestive tract, pulmonary infection, massive bleeding of the wound and renal dysfunction. The incidence of deformity of the hands was 79%.
CONCLUSION
Proper management of early complications and repair of the injured hands are of great importance in cases of electrical surgery.
目的
探讨电损伤患者早期并发症的处理及手部损伤的修复。
方法
回顾性分析1995年至2001年收治的45例电损伤患者早期并发症的发生率以及采用不同方法修复的受伤手部的畸形情况。
结果
按发生率排序，电损伤后早期出现的并发症包括电击伤、低血容量性休克、心功能不全、消化道出血、肺部感染、伤口大出血及肾功能不全。手部畸形发生率为79%。
结论
在电外科手术中，妥善处理早期并发症及修复受伤手部至关重要。
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