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[手部及前臂高压电损伤的治疗]

[Treatment of high-voltage electric injuries of the hand and forearm].

作者信息

Teot L, Giovannini U M, Ruello E V, Colonna M R

机构信息

Centre Hospitalier Universitaire de Montpellier, Hopital Lapeyronnie.

出版信息

Ann Ital Chir. 1998 May-Jun;69(3):317-23.

PMID:9835103
Abstract

Electric injuries produce deep tissue destruction and in a large number of cases involve the forearm, entering from the hand. The authors report their experience, consisting of 13 cases, with satisfying results, particularly in relation to limb salvage. Salvage procedures, avoiding the amputation and including venous grafts and use of flaps, among which the inguinal flap is mostly used, are considered. Late necrosis occurring under grafted tissues often requires further surgery, including tendon and nerve grafts and scar revisions with skin grafts or flaps.

摘要

电击伤会导致深部组织破坏,在大量病例中累及前臂,从手部进入。作者报告了他们的13例经验,结果令人满意,尤其是在肢体挽救方面。考虑了挽救手术,避免截肢,包括静脉移植和皮瓣的使用,其中腹股沟皮瓣使用最为频繁。移植组织下发生的晚期坏死通常需要进一步手术,包括肌腱和神经移植以及用皮片或皮瓣进行瘢痕修复。

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