Saied Noha, Harfoush Ahmed, Ayed Tamer, Moustafa Alaa, Hassan Rania, Eldolify Ezz, Abdelaziz Hany
Departments of Plastic Surgery, Cardiothoracic Surgery, and Orthopedic Surgery, AlGalaa Military Medical Complex, Cairo, Egypt; and Lecturer of Anesthesia, Ain Shams University, Cairo, Egypt.
Plast Reconstr Surg Glob Open. 2017 Mar 24;5(3):e1243. doi: 10.1097/GOX.0000000000001243. eCollection 2017 Mar.
A 20-year-old man was subjected to high-voltage electric burn, which was occupational. The patient was admitted to AlGalaa Military Medical Complex almost 2 weeks after the accident had happened. According to Lund and Browder's chart, the patient had a 40% total body surface area burn involving the upper limbs, anterior and posterior trunks, and the left thigh (third- and fourth-degree burns). The aim of this study was to stabilize the patient by conducting lifesaving operations in multiple scheduled sessions, bilateral below-elbow amputations, escharotomies, and excision of affected ribs and cartilages. A left latissimus dorsi flap used to cover the left side of the anterior chest wall. Skin grafting (split thickness, meshed 1:3) was done to cover the raw areas. Multiple aggressive operations by a multidisciplinary team saved the patient's life. The victim suffered a major injury and was handicapped, but he survived. It was not necessary to replace the excised ribs with prosthesis because of the preserved sternum. An electric burn poses a burden on many people in addition to the patients themselves.
一名20岁男性遭受高压电烧伤，属职业性损伤。事故发生近两周后，该患者被收治于阿尔加拉军事医疗中心。根据伦德和布劳德烧伤面积图表，患者全身表面积40%烧伤，累及上肢、躯干前后部及左大腿（三度和四度烧伤）。本研究的目的是通过多次按计划进行的救生手术、双侧肘部以下截肢、焦痂切开术以及切除受累肋骨和软骨来稳定患者病情。采用左背阔肌皮瓣覆盖前胸壁左侧。进行了皮肤移植（中厚皮片，网状比例1:3）以覆盖创面。多学科团队进行的多次积极手术挽救了患者生命。受害者受了重伤并致残，但存活了下来。由于胸骨保留，无需用假体替代切除的肋骨。除患者自身外，电烧伤还给许多人带来负担。
