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患者男,21岁,因“癫痫发作,昏倒在火炉上致大面积头皮烧伤”于2010年2月24日入院。入院查体:神志清楚,头部、双手背侧可见大片烧伤创面,高度肿胀,形成焦痂。基底部质韧,污染重,触痛不明显,面积约6%。入院后第3天,全麻下行双手背切痂、自体皮移植术,术后植皮成活良好。入院后第15天起,头部创面开始液化,行脱痂治疗,5d后痂皮脱落,颅骨外露面积达20cm×17cm,部分骨质坏死。分
The patient, male, 21 years old, was admitted to hospital on February 24, 2010 due to “seizures and fainting of a large area of the scalp burns caused by fainting.” Admission examination: conscious mind, the back of both hands visible large burn wounds, highly swollen, the formation of eschar. Basement toughness, heavy pollution, tenderness is not obvious, an area of about 6%. On the 3rd day after admission, the patients underwent both hands with escharectomy and scalp autografting. From the 15th day after admission, the head wound began to liquefy, and the scab was removed after 5 days. The exposed area of the skull reached 20cm × 17cm and some of the bone was necrotic. Minute