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早期血管移植预防电烧伤后上肢坏死。

Early vascular grafting to prevent upper extremity necrosis after electrical burns.

作者信息

Wang X W, Wei J N, Sung Y H, Li Y N, Wang N Z, Liu J Q, Li S M

出版信息

Burns Incl Therm Inj. 1982 May;8(5):303-12. doi: 10.1016/0305-4179(82)90028-6.

DOI:10.1016/0305-4179(82)90028-6
PMID:7093793
Abstract

Presented in this paper are the surgical considerations in the management of 8 electrically injured patients, with special reference to the care for wrist damage associated with impaired blood flow, and the prospect for effective recovery. Sound surgical principles, such as early diagnosis and repair of artery damage, complete débridement of dead tissue and affective wound closure, in conjunction with intensive general treatment and overall planning, are necessary for maximally rehabilitated limbs. The electrically injured seem to have benefited a great deal from the procedures outlined, with a lowered incidence of amputation and a better functional recovery.

摘要

本文介绍了8例电损伤患者治疗中的手术考量,特别提及了伴有血流受损的腕部损伤的处理以及有效康复的前景。为使肢体最大程度康复,合理的手术原则,如早期诊断和修复动脉损伤、彻底清创坏死组织及有效闭合伤口,再结合强化的综合治疗和整体规划,是十分必要的。电损伤患者似乎从所述手术中获益良多,截肢发生率降低,功能恢复更佳。

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1
Early vascular grafting to prevent upper extremity necrosis after electrical burns.早期血管移植预防电烧伤后上肢坏死。
Burns Incl Therm Inj. 1982 May;8(5):303-12. doi: 10.1016/0305-4179(82)90028-6.
2
Electrical injuries of the upper extremity.上肢电损伤
Major Probl Clin Surg. 1976;19:72-83.
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Early vascular grafting to prevent upper extremity necrosis after electrical burns. Commentary on indications for surgery.早期血管移植预防电烧伤后上肢坏死。手术指征的述评
Burns Incl Therm Inj. 1985 Jun;11(5):359-65. doi: 10.1016/0305-4179(85)90099-3.
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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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[Early vascular grafting in preventing gangrene of the upper extremity caused by electrical injuries (author's transl)].早期血管移植预防电损伤所致上肢坏疽(作者译)
Zhonghua Wai Ke Za Zhi. 1979;17(6):426-30.
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Early vascular grafting to prevent upper extremity necrosis after electrical burns: II. Experience with wound infection management.早期血管移植预防电烧伤后上肢坏死:II. 伤口感染管理经验
Burns Incl Therm Inj. 1984 Feb;10(3):179-83.
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[Wound repair and functional reconstruction of high-voltage electrical burns in wrists].[腕部高压电烧伤的创面修复与功能重建]
Zhonghua Shao Shang Za Zhi. 2017 Dec 20;33(12):738-743. doi: 10.3760/cma.j.issn.1009-2587.2017.12.004.
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Early vascular grafting to prevent upper extremity necrosis after electrical burns: indications for surgery.
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Arterial injuries in electrically burned upper limbs and effects of early reconstruction of blood circulation to the wrist.上肢电烧伤中的动脉损伤及早期重建腕部血液循环的效果
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Medial arm fasciocutaneous island flap coverage of an electrical burn of the upper extremity.上臂内侧筋膜皮瓣岛状皮瓣修复上肢电烧伤
Ann Plast Surg. 1988 Feb;20(2):120-3. doi: 10.1097/00000637-198802000-00005.

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