Shen Y M
Department of Burns, Beijing Jishuitan Hospital, Beijing 100035, China.
Zhonghua Shao Shang Za Zhi. 2018 May 20;34(5):257-262. doi: 10.3760/cma.j.issn.1009-2587.2018.05.001.
In the repair of burn wound, high-voltage electrical burn wound is still the most complicated and the most difficult one to deal with. According to the clinical experience of author and the literature at home and abroad, this article systematically discusses the early treatment of high-voltage electrical burn wounds, including limbs escharotomy, fasciotomy, and early debridement, and the repair of high-voltage electrical burn wounds in various parts, especially in some special parts, focusing on the repair of the life-threatening parts and site of large vascular injury. At the same time, this article discusses the feasibility and necessity of functional reconstruction. We should make full use of modern repair technology and innovation, interdisciplinary cooperation, so as to reduce disability rate, amputation rate, and mortality of patients with high-voltage electrical burns as far as possible.
在烧伤创面修复中,高压电烧伤创面仍是最复杂且最难处理的创面。根据作者的临床经验及国内外文献,本文系统地探讨了高压电烧伤创面的早期处理,包括肢体焦痂切开术、筋膜切开术及早期清创术,以及各部位高压电烧伤创面的修复,尤其是一些特殊部位,着重对危及生命部位及大血管损伤部位的修复。同时,本文探讨了功能重建的可行性和必要性。我们应充分利用现代修复技术并创新,进行多学科协作,以尽可能降低高压电烧伤患者的致残率、截肢率及死亡率。