电烧伤早期并发症与伤手救治探讨

目的：探讨救治电烧伤早期并发症及修复伤手的方法。方法：对45例电烧伤病人早期并发症及手部致残情况进行回顾性研究。结果：早期并发症依效为电休克、低血容量性休克、心功能不全、消化道出血、肺部感染、伤口大出血及肾功能不全。手部致残率占残废患者的79％。结论：应重视电烧伤早期并发症的救治，并积极修复伤手。

Management of early complications of the electrical injury and repair of the injured hands.

OBJECTIVE: To explore the management of early complications and repair of hand injuries in electrically injured patients. METHODS: Forty-five patients with electrical injuries admitted during 1995 and 2001 were analyzed retrospectively in terms of the incidences of early complications and the deformity of the injured hands repaired using different approaches. RESULTS: In the order of incidence, the complications arising in the early stages after electrical injuries included electric shock, hypovolemic shock, cardiac dysfunction, hemorrhage of the digestive tract, pulmonary infection, massive bleeding of the wound and renal dysfunction. The incidence of deformity of the hands was 79%. CONCLUSION: Proper management of early complications and repair of the injured hands are of great importance in cases of electrical surgery.