Huang G F
First Affiliated Hospital of West China University of Medical Sciences, Chengdu.
Zhonghua Wai Ke Za Zhi. 1990 Aug;28(8):492-3, 511.
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.
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。