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1
[Not Available].[无可用内容]
Ann Burns Fire Disasters. 2018 Jun 30;31(2):122-126.
2
[Microsurgical reconstruction of the burned upper extremity].[烧伤上肢的显微外科重建]
Handchir Mikrochir Plast Chir. 2005 Aug;37(4):245-55. doi: 10.1055/s-2005-865801.
3
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[Early treatment of high-voltage electric burn wound in the limbs].[四肢高压电烧伤创面的早期治疗]
Zhonghua Shao Shang Za Zhi. 2011 Jun;27(3):173-7.
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[Traumatic knee dislocation with popliteal vascular disruption: retrospective study of 14 cases].[伴有腘血管损伤的创伤性膝关节脱位:14例回顾性研究]
Rev Chir Orthop Reparatrice Appar Mot. 2006 Dec;92(8):768-77. doi: 10.1016/s0035-1040(06)75945-1.
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Retrospective Review of Free Anterolateral Thigh Flaps for Limb Salvage in Severely Injured High-Voltage Electrical Burn Patients.严重高压电烧伤患者肢体挽救中游离股前外侧皮瓣的回顾性研究
Ann Plast Surg. 2018 Mar;80(3):232-237. doi: 10.1097/SAP.0000000000001283.
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[Effects of flow-through descending branch of lateral circumflex femoral artery flap on repairing high-voltage electrical burn wounds of wrist of patients].旋股外侧动脉降支穿支皮瓣修复患者腕部高压电烧伤创面的效果
Zhonghua Shao Shang Za Zhi. 2017 Jul 20;33(7):422-425. doi: 10.3760/cma.j.issn.1009-2587.2017.07.006.
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本文引用的文献

1
Early debridement and delayed primary vascularized cover in forearm electrical burns: A prospective study.前臂电烧伤的早期清创与延迟一期带血管蒂覆盖:一项前瞻性研究。
World J Crit Care Med. 2016 Nov 4;5(4):228-234. doi: 10.5492/wjccm.v5.i4.228.
2
Electrical burns: Highlights from a 5-year retrospective analysis.电烧伤:一项5年回顾性分析的要点
Ulus Travma Acil Cerrahi Derg. 2016 May;22(3):278-82. doi: 10.5505/tjtes.2015.55491.
3
High voltage electrical injury: an 11-year single center epidemiological study.高压电损伤:一项为期11年的单中心流行病学研究。
Ann Burns Fire Disasters. 2014 Jun 30;27(2):82-6.
4
Electrical burn injury: a five-year survey of 682 patients.电烧伤:对682例患者的五年调查
Trauma Mon. 2014 Nov;19(4):e18748. doi: 10.5812/traumamon.18748. Epub 2014 Nov 25.
5
Epidemiology of electrical injury: Differences between low- and high-voltage electrical injuries during a 7-year study period in South Korea.电损伤的流行病学:韩国7年研究期内低电压和高电压电损伤的差异
Scand J Surg. 2015 Jun;104(2):108-14. doi: 10.1177/1457496914534209. Epub 2014 May 7.
6
[Electrical flash burns, about 33 cases. A 10-year retrospective study. Epidemiology, treatment and prevention].
Ann Chir Plast Esthet. 2015 Apr;60(2):123-30. doi: 10.1016/j.anplas.2014.02.005. Epub 2014 Mar 18.
7
Electrical injury in construction workers: a special focus on injury with electrical power.建筑工人的电击伤:特别关注电力致伤情况。
Burns. 2014 Mar;40(2):300-4. doi: 10.1016/j.burns.2013.05.019. Epub 2013 Jun 29.
8
Electrical burn is still a major risk factor for amputations.电烧伤仍然是截肢的一个主要危险因素。
Burns. 2013 Mar;39(2):354-7. doi: 10.1016/j.burns.2012.06.012. Epub 2012 Jul 31.
9
Cost analysis of acute burn patients treated in a burn centre: the Gulhane experience.烧伤中心急性烧伤患者的成本分析:古勒汗医院的经验。
Ann Burns Fire Disasters. 2011 Mar 31;24(1):9-13.
10
Electrical burn - a four-year study.电烧伤——一项为期四年的研究。
Ann Burns Fire Disasters. 2008 Jun 30;21(2):78-80.

[无可用内容]

[Not Available].

作者信息

Ghorbel I, Abid A, Moalla S, Karra A, Ennouri K

机构信息

Service de Chirurgie Plastique, Réparatrice et Esthétique, CHU Habib Bourguiba, Sfax, Tunisie.

出版信息

Ann Burns Fire Disasters. 2018 Jun 30;31(2):122-126.

PMID:30374264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6199006/
Abstract

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.

摘要

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。