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[颅骨严重电烧伤的治疗]

[Treatment of severe electrical burn of the skull].

作者信息

Huang G F

机构信息

First Affiliated Hospital of West China University of Medical Sciences, Chengdu.

出版信息

Zhonghua Wai Ke Za Zhi. 1990 Aug;28(8):492-3, 511.

PMID:2086116
Abstract

From Jan. 1970 to Feb. 1989, 10 cases of severe electrical burns of the skull were treated. There were necroses of the full skull bone layer and skin in 4 cases and necroses of the skull skin and external skull bone layer in 6 cases. Cure in 8 cases and death in 2 cases. The authors consider that in the early-stage protecting and reserving the skull intact is important. Repairing wound with full-circulatory skin flap or myocutaneous flap is a reasonable selection. In the later-stage, the wound may be repaired with skin graft on the granulating wound after removing the necrotic bone.

摘要

1970年1月至1989年2月,共治疗10例严重的颅骨电烧伤。其中4例全颅骨骨层及皮肤坏死,6例颅骨皮肤及颅骨外骨层坏死。8例治愈,2例死亡。作者认为,早期保护并保留完整颅骨很重要。采用全血运皮瓣或肌皮瓣修复创面是合理的选择。后期,在去除坏死骨后,可在肉芽创面上植皮修复创面。

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