Hunt J L, Sato R M, Baxter C R
Arch Surg. 1980 Apr;115(4):434-8. doi: 10.1001/archsurg.1980.01380040062011.
A review of 102 cases of high-voltage electric injuries was performed. The average total body surface area was 15.2%. The average age was 32 years. The mortality was 2.1%. Advances in fluid therapy have virtually eliminated renal failure. Devitalized muscle was accurately identified preoperatively with the use of the technetium Tc 99m pyrophosphate muscle scan. Septic complications were reduced substantially by using the following therapeutic modalities: early excision of the burn eschar and necrotic muscle; quantitative wound biopsies to monitor the bacterial flora; allograft as a temporary coverage of open wounds; and early creation of local and distant flaps. Early institution of physical and occupational therapy are mandatory if the patient is to be restored to his or her maximum postinjury potential.
对102例高压电损伤病例进行了回顾性研究。平均全身表面积为15.2%。平均年龄为32岁。死亡率为2.1%。液体疗法的进展实际上已消除了肾衰竭。术前使用锝Tc 99m焦磷酸盐肌肉扫描可准确识别失活肌肉。通过以下治疗方式，脓毒症并发症大幅减少：早期切除烧伤焦痂和坏死肌肉；进行定量伤口活检以监测细菌菌群；采用同种异体移植临时覆盖开放性伤口；早期制作局部和远处皮瓣。如果要使患者恢复到受伤后的最大潜力，必须尽早开展物理和职业治疗。
