35例电烧伤截肢临床分析  

Clinical analysis of 35 cases with amputation of electric burn

作　　者：娄季鹤[1] 赵春安[1] 牛希华[1] 马文元[1] 于长顺[1] 陈志坚[1] 李红[1] 

机构地区：[1]郑州市第一人民医院烧伤科

出　　处：《河南医学研究》1999年第2期156-157,共2页Henan Medical Research

摘　　要：目的：总结分析电烧伤截肢病例，从而减少截肢后并发症，提高疗效，维护残肢功能，减轻伤残程度。方法：对我院近１０年收治的电烧伤截肢进行临床分析，比较术式改进前后的临床效果。结果：窦道形成、继发性动脉出血、神经瘤和骨断端突出是电烧伤截肢后残肢（端）的常见并发症，改进术式可明显降低其发生率、改善残肢的预后。结论：截肢是一种严重致残又不得已而为之的医疗手段。认真消除坏死组织，防感染，选择适宜的去除平面及残端处理方法，是预防并发症的关键；充分利用皮瓣技术有时可降低截肢平面，保存有用长度。Objective: Summing up the cases with amputation of electric burn in the past near 10 years,to decrease the amputation complications, to increase curative effect and to conserve and uphold the function of stump and to lighten the maimed degree. Methods: 35 cases with amputation of electric burn were analyzed clinically and compared the curaive effects between those before and after the development of operative way. Results: Sinus, secondary arterial hemorrhage, neuroma and the projection. of stump were the common complications after amputation. The development of the operative way could significantly decrease the morbiclity and improve the prognosis of the stump. Conclusion: Amputation is absolutely necessary medical means with a very harmful maimed. Seriously clearing the necrosis tissues, preventing and curing the infection and selecting the suitable plane scavenged and the treatment approach of stump are the key steps to prevent the complications, sometimes fully utilizing the flap operatio

关 键 词：电烧伤 截肢 术后并发症 预防 

分 类 号：R647.05[医药卫生—外科学] R687.5[医药卫生—临床医学]