Shen Z Y, Chang Z D, Wang N Z
Department of Burns and Plastic Surgery, Ji Shui Tan Hospital, Beijing, China.
Burns. 1990 Dec;16(6):449-56. doi: 10.1016/0305-4179(90)90076-9.
Between January 1980 and December 1989, a prospective study was carried out on 114 upper limbs in 90 patients, which were electrically burned with the wrist as the current entrance site. Based upon extensive clinical investigations of arterial injury and its adverse effect on hand circulation, a grading system is suggested for electrically injured wrists based on the severity of injury. The total amputation rate was 39.4 per cent in this group, which was composed of miscellaneous cases with various injuries. However, in subgroups of Type I to Type IV, the amputation rates were 0, 0, 80 and 100 per cent, respectively. A new method to repair the circumferential wound of an electrically burned wrist as well as to bypass the blood flow to the obstructed hand, using a pedicled greater omentum transfer and vascular anastomosis between gastroepiploic artery and the palmar artery, was successfully used in a Type III case.
1980年1月至1989年12月，对90例患者的114条上肢进行了一项前瞻性研究，这些上肢均以腕部作为电流入口部位发生电烧伤。基于对动脉损伤及其对手部血液循环不良影响的广泛临床研究，根据损伤严重程度，提出了一种电烧伤腕部的分级系统。该组总的截肢率为39.4%，包括各种损伤的杂类病例。然而，在I型至IV型亚组中，截肢率分别为0%、0%、80%和100%。一种修复电烧伤腕部环形创面并绕过受阻手部血流的新方法，即采用带蒂大网膜转移以及胃网膜动脉与掌动脉之间的血管吻合术，成功应用于1例III型病例。
