Ghorbel I, Abid A, Moalla S, Karra A, Ennouri K
Service de Chirurgie Plastique, Réparatrice et Esthétique, CHU Habib Bourguiba, Sfax, Tunisie.
Ann Burns Fire Disasters. 2018 Jun 30;31(2):122-126.
Electrical burns are a major cause of bodily harm due to the mechanism and effect of the lesions. This prompts us to study these lesions and their management in order to reduce the morbidity caused by this type of accident. We conducted a retrospective descriptive observational study of patients hospitalized for electrical burns. This study includes 23 patients. The average age was 25.74 years. The most common occurrence was a domestic accident in 13 cases (56.5%), a work accident in 8 cases (34.8%), and a road traffic accident in 2 cases (8.7%). Fasciotomy was performed on six patients: five had high voltage injuries. Necrosis excision was performed at 8.26 days ± 5.55 days. Seven amputations were performed including 6 at the upper limb. Twenty flaps were used on 12 patients. Locoregional flaps were performed for 15 zones, and distant flaps as a solution in the event of locoregional flap failure. Five cases had immediate reconstruction because of exposure of noble elements, 3 showing necrosis of the flap. The average healing time was 45 days. Seven patients who underwent a reconstruction by flap healed after this period. The main results of the study show that conventional emergency decompression does not appear to reduce the amputation rate, the use of local and locoregional flaps in the initial phase (<21 days) carries a significant risk of suffering and necrosis, and that antithrombotic prevention or the use of flaps does not seem to have an impact on healing delays.
由于电烧伤损伤的机制和影响,它是身体伤害的主要原因。这促使我们研究这些损伤及其处理方法,以降低这类事故造成的发病率。我们对因电烧伤住院的患者进行了一项回顾性描述性观察研究。该研究包括23名患者。平均年龄为25.74岁。最常见的是家庭事故13例(56.5%),工作事故8例(34.8%),道路交通事故2例(8.7%)。6名患者进行了筋膜切开术:5名有高压电损伤。坏死组织切除在8.26天±5.55天进行。共进行了7次截肢,其中上肢截肢6例。12名患者使用了20块皮瓣。局部皮瓣用于15个区域,如局部皮瓣失败则采用远位皮瓣。5例因重要组织外露进行了即刻重建,3例皮瓣出现坏死。平均愈合时间为45天。7名接受皮瓣重建的患者在此期间后愈合。该研究的主要结果表明,传统的紧急减压似乎并未降低截肢率,在初始阶段(<21天)使用局部和局部区域皮瓣有显著的发生痛苦和坏死的风险,并且抗血栓预防或皮瓣的使用似乎对愈合延迟没有影响。