Yang J Y, Tsai Y C, Noordhoff M S
Burns Incl Therm Inj. 1985 Feb;11(3):207-12. doi: 10.1016/0305-4179(85)90072-5.
A 37-year-old female patient suffered high voltage electrical injury with resultant exit wound on the left quadrant of the abdomen measuring 15 X 10 cm2 involving full thickness of the abdominal wall including the peritoneum. Early debridement and exploratory laparotomy was performed on the fifth post-burn day although the patient had no abdominal symptoms. All visceral organs were grossly normal. The peritoneum was closed and the wound covered with split thickness skin graft. On the twelfth post-burn day the anterior wall of the stomach sloughed and resulted in a 10 X 10 cm2 gastrocutaneous fistula. After 1 month of duodenostomy feeding via the fistula using a Foley catheter, the fistula was closed and was covered with greater omental flap and split thickness skin. Seventeen days later the patient was discharged following an uneventful recovery.
一名37岁女性患者遭受高压电击伤，腹部左象限有一15×10平方厘米的出口创面，累及包括腹膜在内的全层腹壁。尽管患者没有腹部症状，但在烧伤后第5天进行了早期清创和剖腹探查术。所有内脏器官大体正常。腹膜被缝合，创面用中厚皮片覆盖。烧伤后第12天，胃前壁坏死脱落，形成一个10×10平方厘米的胃皮肤瘘。通过瘘管用Foley导管进行十二指肠造口喂养1个月后，瘘口闭合，用大网膜瓣和中厚皮片覆盖。17天后，患者顺利康复出院。
