Parshley P F, Kilgore J, Pulito J F, Smiley P W, Miller S H
Am J Surg. 1985 Jul;150(1):78-82. doi: 10.1016/0002-9610(85)90013-3.
Electrical current injuries involving the extremities occurred in 41 of 75 patients with electrical burns admitted to the Oregon Burn Center over an 11 year period. Based solely on physical findings, the muscle compartments of 27 limbs in 14 patients were promptly explored, decompressed, and debrided of necrotic tissue on admission. This resulted in the salvage of 10 useful extremities. Major amputation of 11 extremities was carried out during initial surgery. No extremity needing exploration was overlooked. After exploration and fasciotomy, exposed tissues were protected with biologic dressings until repeated explorations and debridements demonstrated the absence of necrotic tissues and closure could be accomplished. The use of both local and free flaps was helpful in closing the wounds. No evidence or renal failure and no deaths attributable to retained necrotic tissue occurred.
在11年期间，俄勒冈烧伤中心收治的75例电烧伤患者中，有41例发生了累及四肢的电流损伤。仅根据体格检查结果，14例患者的27条肢体的肌肉间隔在入院时就立即进行了探查、减压和坏死组织清创。这使得10条有用的肢体得以挽救。在初次手术期间对11条肢体进行了大截肢。没有遗漏任何需要探查的肢体。在探查和筋膜切开术后，用生物敷料保护暴露的组织，直到反复探查和清创显示没有坏死组织且可以完成伤口闭合。局部皮瓣和游离皮瓣的使用有助于伤口闭合。没有出现肾衰竭的证据，也没有因残留坏死组织导致的死亡。
