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目的探讨严重电烧伤全层腹壁及腹腔内脏器损伤的诊治方法。方法收集1992年3月至2006年4月5例严重腹部高压电烧伤采用皮瓣转移或植皮术进行修复的临床资料,对其进行同顾性分析。结果采用皮瓣转移或植皮术进行修复的5例患者,4例皮瓣全部成活,其中3例皮瓣Ⅰ期愈合,1例皮瓣远端缺血坏死;1例术后3小时病情恶化抢救无效死亡。结论严重腹部电烧伤治疗的关键在于把握剖腹探查的时机和选择恰当的皮瓣。
Objective To investigate the method of diagnosis and treatment of the whole abdominal wall and abdominal viscera injury in severe electric burn. Methods From March 1992 to April 2006, 5 cases of severe abdominal high voltage electric burn were treated with flap transfer or skin grafting. The clinical data were collected and analyzed with the same method. Results Skin flap was repaired by flap transfer or skin grafting in 5 patients. All 4 flaps survived, including 3 cases of primary flap healing and 1 case of distal necrosis of the flap. One case was deteriorated after 3 hours of operation Invalid death. Conclusion The key to the treatment of severe abdominal electric burn is to grasp the timing of laparotomy and choose the appropriate flap.