269个手指电烧伤修复

目的 总结手指电烧伤的修复特点。方法 分析了８３例２６９人手指电烧伤,对伤情特点及修复方式进行了探讨。结果 手指电烧伤具有多发性的特点,决定了创面修复上的复杂性,手术时机应根据不同情况而定,一般情况下可早期手术,但近环形或环形创面,早期只宜作减张手术或单纯焦痂切除,避免彻底扩创损伤残存血管,待手指远端血运充分改善后,再行延迟手术修复创面,这样可保留手指,效果良好。结论 手指电烧伤创面修复可采用多种

Rehabilitation of 269 fingers with electrical burns]

OBJECTIVE: To summarize the clinical feature of the fingers with electrical burns. METHODS: 269 fingers with electrical burns were analysed in the characteristics of injury and the types of repair. RESULTS: Fingers with electrical burns were often multiple, characterizing the complexity of the wound repair. Operation time should be determined by different conditions. Usually the fingers with electrical burns should be operated early but the circumferential wound surface should be depressed or eschar excised during early stage in order to avoid ischemia of distal segment. When the circulation of the finger distal to the injury is improved, operation should be done to repair wound surface. CONCLUSION: Many kinds of flaps might be used for repair of fingers with electrical burns. The flaps from the same finger should be the first choice, followed by flaps from the same hand and distant flaps.