救治严重电烧伤合并不完全脊髓损伤1例
Yiayao Qianyan(2016)
Abstract
患者,男性,39岁,2013-08-07工作中往发电设备中添油过程被6万伏高压电击伤左手、右上肢、会阴、躯干、被形成电弧光引燃油形成火焰烧伤躯干左下肢、右下肢大腿、小腿,当时出现一过性意识丧失数分钟后恢复,经伤后15h转运至我院,留置导尿为酱油色血红蛋白尿,诊断为躯干会阴四肢电烧伤Ⅱ°Ⅲ°Ⅳ°45%Ⅲ°16%Ⅳ° 6%,创面以右上肢、后躯干、左腹部会阴为最重,右手腕部为环形苍白质韧,右腕部桡侧可见切开减张缝合口,皮革样手背腕部基底潮红,右手小指、无名指、中指掌侧苍白屈曲畸形末梢青紫血运差,拇指食指分布点状创面血运略差,右前臂上臂外侧分布创面红白相间,阴茎苍白焦化,阴囊苍白焦化皮革状,后躯干正中靠近脊柱可见一深达肌层皮肤焦化伤口深约4cm长约15cm宽3cm,可触及棘突,伤口周围皮肤焦化皮革样,左腹股沟处皮肤焦化皮革状,左大腿小腿后侧基底苍白皮革状腹侧基底红白相间,前躯干右大腿外侧,右小腿后侧腐皮脱去基底红白相间.
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