Wang X W, Zoh W
Burns Incl Therm Inj. 1982 Jul;8(6):379-86. doi: 10.1016/0305-4179(82)90106-1.
Since May 1978, a new method using the saphenous vein as autograft for reconstruction of blood circulation to the wrist has been applied in treating a series of 14 cases of electrically burned upper limbs with vascular injuries of the wrist. Necrosis was averted in 10 upper limbs treated in this way. This paper reports the pathological findings in these 14 cases operated upon at an early stage as well as clinical observations on the injured arteries, arteriograms and operative findings. A pathological study was also made on the arteries of limbs amputated following conservative treatment. A pathological concept is suggested regarding the damage caused by an electrical current passing through the upper limb. This helps to explain the mechanism of electrical injuries and provides a pathological basis for early vascular reconstruction to prevent necrosis in electrical injuries of upper limbs.
自1978年5月以来，一种使用大隐静脉作为自体移植材料重建手腕血液循环的新方法已被应用于治疗一系列14例伴有手腕血管损伤的上肢电烧伤患者。通过这种方法治疗的10例上肢避免了坏死。本文报告了这14例早期手术病例的病理结果，以及对受伤动脉的临床观察、动脉造影和手术发现。还对保守治疗后截肢的肢体动脉进行了病理研究。提出了一个关于电流通过上肢所造成损伤的病理概念。这有助于解释电损伤的机制，并为早期血管重建以预防上肢电损伤中的坏死提供病理基础。
