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患者男,5岁,攀爬变压器时左手触及3.5万伏高压线致伤。昏迷约8分钟,全身多部位深度烧伤。阴茎、阴囊肿胀明显,阴茎远端约1/3皮肤组织干性坏死,焦黑色,触之坚韧、发凉,感觉消失,排尿线细,费力。治疗经过:经抢救治疗休克期平稳渡过。伤后5天行阴茎扩创残端皮瓣包埋术。术中将阴茎远端明显坏死组织清除约占1/3,尽量保留残存阴茎间生态组织,插入导尿管,抗生素盐水充分冲洗、湿敷。于阴茎根部
Male patient, 5 years old, climbed the transformer left hand touched 35000 volts high voltage line injury. Coma for about 8 minutes, multiple parts of the body deep burn. Penis, scrotal swelling significantly, the distal tip of the penis about 1/3 of skin tissue necrosis, coke black, touching the tough, cool, feeling disappeared, urination fine lines, laborious. After treatment: the rescue treatment shock period passed. 5 days after injury penis amputation stump flap embedding. Surgery will clear the distal necrosis of the penis tissue removal about 1/3, try to retain the remaining penile ecological organizations, insert the catheter, antibiotic saline flush, wet compress. In the penis roots