高压电烧伤进行性损伤的机制及防治策略  

Mechanism and prevention and treatment strategy of progressive injury in high-voltage electric burns

作　　者：张庆富 郝嘉文 Zhang Qingfu;Hao Jiawen(Burn and Wound Repair Center,the Third Hospital of Hebei Medical University,Hebei Burn Treatment Technology Innovation Center,Shijiazhuang 050051,China;Department of Burn Plastic(Wound Repair)Surgery,the First Hospital of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第三医院烧伤与创面修复中心,河北省烧伤救治技术创新中心,石家庄050051 [2]河北医科大学第一医院烧伤整形(创面修复)科,石家庄050000

出　　处：《中华烧伤与创面修复杂志》2023年第8期718-723,共6页Chinese Journal of Burns And Wounds

基　　金：国家自然科学基金面上项目(81871560);河北省自然科学基金重点项目(H2016206575);河北省创新能力提升计划项目(225676120H)。

摘　　要：高压电烧伤是各种烧伤中对组织器官毁损较为严重的一种。临床上,高压电烧伤进行性损伤是影响截肢平面及救治成功率的关键病理变化,目前其确切的定义和发生机制尚未被阐明,临床治疗以对症处理为主,而针对高压电烧伤进行性损伤机制及治疗的相关研究资料匮乏。该文通过分析和总结高压电烧伤进行性损伤的发生机制、诊断和治疗及常见结局,为高压电烧伤进行性损伤的机制研究和临床诊断与治疗提供参考依据。High-voltage electric burn is one of burns that can cause severe damages to tissue and organs.Clinically,progressive injury in high-voltage electric burns is a key pathological change that affects the level of amputation and the success rate of treatment.At present,the exact definition and mechanism of progressive injury in high-voltage electric burns have not been elucidated,and the clinical treatment is mainly symptomatic treatment.Relevant research data on the mechanism and treatment of progressive injury in high-voltage electric burns are lacking.This paper analyzes and summarizes the mechanism,diagnosis,treatment,and common outcome of progressive injury in high-voltage electric burns,and provides a reference for the mechanism research,clinical diagnosis and treatment of progressive injury in high-voltage electric burns.

关 键 词：烧伤 电 软组织损伤 外科皮瓣 截肢 创伤性 诊断 

分 类 号：R647[医药卫生—外科学]