一例高压电损伤病例报告及电损伤肢体保肢中早期筋膜切开术指征的综述
Case report of a high voltage electrical injury and review of the indications for early fasciotomy in limb salvage of an electrically injured limb.
作者信息
Huei T J, Mohd Yussof S J, Lip H T C, Salina I
机构信息
Pusat Perubatan Universiti Kebangsaan Malaysia, Cheras, Malaysia.
Department of Plastic and Reconstructive Surgery, Hospital Sungai Buloh, Selangor, Malaysia.
出版信息
Ann Burns Fire Disasters. 2017 Jun 30;30(2):150-153.
Abstract
Electrical injuries make up a relatively small portion of burn injuries. Safety measures in place on domestic electricity supply have reduced the occurrence of high voltage electrical injuries. We present the case of a young man who sustained a high voltage electrical injury on all four limbs. Early fasciotomy was performed on both his hands and forearms. Despite early compartment release, the left upper limb deteriorated and required amputation. In this article we discuss the indications, outcomes and complications of early fasciotomy.
摘要
电击伤在烧伤中所占比例相对较小。家庭供电方面实施的安全措施减少了高压电击伤的发生。我们报告一例年轻男性四肢均遭受高压电击伤的病例。对其双手和前臂均进行了早期筋膜切开术。尽管早期进行了筋膜间隔减压，但左上肢仍恶化并需要截肢。在本文中，我们讨论早期筋膜切开术的适应证、结果及并发症。
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