Team Approach Helps Patient Survive High-voltage Electric Burn.
Team Approach Helps Patient Survive High-voltage Electric Burn.
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DOI：
10.1097/gox.0000000000001243
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发表时间：
2017-03
期刊：
影响因子：
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通讯作者：
Abdelaziz H
中科院分区：
文献类型：
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作者：
Saied N;Harfoush A;Ayed T;Moustafa A;Hassan R;Eldolify E;Abdelaziz H
一名20岁的男子受到高压电烧伤，这是职业性的。事故发生近两周后，病人被收住AlGalaa军事医疗中心。根据隆德和布劳德的病历，患者有40%的全身表面积烧伤，涉及上肢、前后躯干和左大腿（三度和四度烧伤）。本研究的目的是通过在多个预定疗程中进行挽救生命的手术、双侧肘下截肢术、焦痂切开术以及切除受影响的肋骨和软骨来稳定患者。左背阔肌皮瓣用于覆盖前胸壁左侧。进行皮肤移植（分层，1：3网孔）以覆盖原始区域。多学科小组的多次积极手术挽救了病人的生命。受害者受了重伤，残废了，但他活了下来。由于保留了胸骨，切除的肋骨不需要用假体置换。电烧伤除了对患者本身造成负担外，还对许多人造成负担。
A 20-year-old man was subjected to high-voltage electric burn, which was occupational. The patient was admitted to AlGalaa Military Medical Complex almost 2 weeks after the accident had happened. According to Lund and Browder’s chart, the patient had a 40% total body surface area burn involving the upper limbs, anterior and posterior trunks, and the left thigh (third- and fourth-degree burns). The aim of this study was to stabilize the patient by conducting lifesaving operations in multiple scheduled sessions, bilateral below-elbow amputations, escharotomies, and excision of affected ribs and cartilages. A left latissimus dorsi flap used to cover the left side of the anterior chest wall. Skin grafting (split thickness, meshed 1:3) was done to cover the raw areas. Multiple aggressive operations by a multidisciplinary team saved the patient’s life. The victim suffered a major injury and was handicapped, but he survived. It was not necessary to replace the excised ribs with prosthesis because of the preserved sternum. An electric burn poses a burden on many people in addition to the patients themselves.