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J Burn Care Res：成功挽救广泛软组织和股骨骨坏死的电烧伤患者

2018-09-01 MedSci MedSci原创

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严重的电伤对外科医生来说是一项艰巨的治疗挑战，因为需要复杂的软组织和骨重建来恢复受伤区域的功能。本文报告了一例高压电烧伤的广泛软组织和股骨坏死患者的肢体抢救过程。患者右大腿和膝盖被烧伤，导致大面积肌肉坏死和长段股骨远端暴露和坏死。完全清创后导致20×35cm的软组织缺损和18cm长的股骨远端骨缺损。使用顺序Ilizarov成骨方法通过背阔肌肌肉移植和骨重建修复伤口。保留受伤的肢体，患者腿部的功能恢

严重的电伤对外科医生来说是一项艰巨的治疗挑战，因为需要复杂的软组织和骨重建来恢复受伤区域的功能。本文报告了一例高压电烧伤的广泛软组织和股骨坏死患者的肢体抢救过程。

患者右大腿和膝盖被烧伤，导致大面积肌肉坏死和长段股骨远端暴露和坏死。完全清创后导致20×35cm的软组织缺损和18cm长的股骨远端骨缺损。使用顺序Ilizarov成骨方法通过背阔肌肌肉移植和骨重建修复伤口。保留受伤的肢体，患者腿部的功能恢复令人满意。

这一治疗经验表明，皮瓣移植和Ilizarov成骨方法的结合是治疗大型软组织和巨大节段性骨缺损的良好选择。

原始出处：

Chen H, Chen Z, et al., A Successful Limb Salvage of an Electrical Burned Patient With Extensive Soft Tissue and Femoral Bone Necrosis. J Burn Care Res. 2018 Aug 28. doi: 10.1093/jbcr/irx013.

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    2019-07-12 zll0634

    #骨坏死#

    0

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    2019-04-26 俅侠

    #烧伤患者#

    0

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    2018-09-03 millore

    #坏死#

    0

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    2018-09-03 heli0118

    #软组织#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1680009, encodeId=e4c7168000988, content=<a href='/topic/show?id=f0061016322a' target=_blank style='color:#2F92EE;'>#骨坏死#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101632, encryptionId=f0061016322a, topicName=骨坏死)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=63ef27829166, createdName=zll0634, createdTime=Fri Jul 12 11:48:00 CST 2019, time=2019-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1674615, encodeId=ded116e461577, content=<a href='/topic/show?id=255c6e146aa' target=_blank style='color:#2F92EE;'>#烧伤患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67146, encryptionId=255c6e146aa, topicName=烧伤患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b15f27034396, createdName=俅侠, createdTime=Fri Apr 26 02:48:00 CST 2019, time=2019-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1362906, encodeId=12eb13629064a, content=<a href='/topic/show?id=b723414321c' target=_blank style='color:#2F92EE;'>#坏死#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41432, encryptionId=b723414321c, topicName=坏死)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0e3195, createdName=millore, createdTime=Mon Sep 03 12:48:00 CST 2018, time=2018-09-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1420418, encodeId=d4601420418b0, content=<a href='/topic/show?id=2221935219e' target=_blank style='color:#2F92EE;'>#软组织#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93521, encryptionId=2221935219e, topicName=软组织)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Mon Sep 03 12:48:00 CST 2018, time=2018-09-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1529704, encodeId=60fa1529e04d6, content=<a href='/topic/show?id=70ff81e9156' target=_blank style='color:#2F92EE;'>#股骨#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81791, encryptionId=70ff81e9156, topicName=股骨)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9d3011964327, createdName=wangyang7962, createdTime=Mon Sep 03 12:48:00 CST 2018, time=2018-09-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=342201, encodeId=f0273422010e, content=嗯嗯，学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/07/16/3b24606172648eea459125cb74754afe.jpg, createdBy=6c022216608, createdName=liumin1987, createdTime=Sun Sep 02 07:35:14 CST 2018, time=2018-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=342151, encodeId=32273421519f, content=了解一下，谢谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Sat Sep 01 22:11:17 CST 2018, time=2018-09-01, status=1, ipAttribution=)]
    2018-09-03 wangyang7962

    #股骨#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1680009, encodeId=e4c7168000988, content=<a href='/topic/show?id=f0061016322a' target=_blank style='color:#2F92EE;'>#骨坏死#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101632, encryptionId=f0061016322a, topicName=骨坏死)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=63ef27829166, createdName=zll0634, createdTime=Fri Jul 12 11:48:00 CST 2019, time=2019-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1674615, encodeId=ded116e461577, content=<a href='/topic/show?id=255c6e146aa' target=_blank style='color:#2F92EE;'>#烧伤患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67146, encryptionId=255c6e146aa, topicName=烧伤患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b15f27034396, createdName=俅侠, createdTime=Fri Apr 26 02:48:00 CST 2019, time=2019-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1362906, encodeId=12eb13629064a, content=<a href='/topic/show?id=b723414321c' target=_blank style='color:#2F92EE;'>#坏死#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41432, encryptionId=b723414321c, topicName=坏死)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0e3195, createdName=millore, createdTime=Mon Sep 03 12:48:00 CST 2018, time=2018-09-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1420418, encodeId=d4601420418b0, content=<a href='/topic/show?id=2221935219e' target=_blank style='color:#2F92EE;'>#软组织#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93521, encryptionId=2221935219e, topicName=软组织)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Mon Sep 03 12:48:00 CST 2018, time=2018-09-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1529704, encodeId=60fa1529e04d6, content=<a href='/topic/show?id=70ff81e9156' target=_blank style='color:#2F92EE;'>#股骨#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81791, encryptionId=70ff81e9156, topicName=股骨)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9d3011964327, createdName=wangyang7962, createdTime=Mon Sep 03 12:48:00 CST 2018, time=2018-09-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=342201, encodeId=f0273422010e, content=嗯嗯，学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/07/16/3b24606172648eea459125cb74754afe.jpg, createdBy=6c022216608, createdName=liumin1987, createdTime=Sun Sep 02 07:35:14 CST 2018, time=2018-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=342151, encodeId=32273421519f, content=了解一下，谢谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Sat Sep 01 22:11:17 CST 2018, time=2018-09-01, status=1, ipAttribution=)]
    2018-09-02 liumin1987

    嗯嗯，学习了。

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1680009, encodeId=e4c7168000988, content=<a href='/topic/show?id=f0061016322a' target=_blank style='color:#2F92EE;'>#骨坏死#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101632, encryptionId=f0061016322a, topicName=骨坏死)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=63ef27829166, createdName=zll0634, createdTime=Fri Jul 12 11:48:00 CST 2019, time=2019-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1674615, encodeId=ded116e461577, content=<a href='/topic/show?id=255c6e146aa' target=_blank style='color:#2F92EE;'>#烧伤患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67146, encryptionId=255c6e146aa, topicName=烧伤患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b15f27034396, createdName=俅侠, createdTime=Fri Apr 26 02:48:00 CST 2019, time=2019-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1362906, encodeId=12eb13629064a, content=<a href='/topic/show?id=b723414321c' target=_blank style='color:#2F92EE;'>#坏死#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41432, encryptionId=b723414321c, topicName=坏死)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0e3195, createdName=millore, createdTime=Mon Sep 03 12:48:00 CST 2018, time=2018-09-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1420418, encodeId=d4601420418b0, content=<a href='/topic/show?id=2221935219e' target=_blank style='color:#2F92EE;'>#软组织#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93521, encryptionId=2221935219e, topicName=软组织)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Mon Sep 03 12:48:00 CST 2018, time=2018-09-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1529704, encodeId=60fa1529e04d6, content=<a href='/topic/show?id=70ff81e9156' target=_blank style='color:#2F92EE;'>#股骨#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81791, encryptionId=70ff81e9156, topicName=股骨)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9d3011964327, createdName=wangyang7962, createdTime=Mon Sep 03 12:48:00 CST 2018, time=2018-09-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=342201, encodeId=f0273422010e, content=嗯嗯，学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/07/16/3b24606172648eea459125cb74754afe.jpg, createdBy=6c022216608, createdName=liumin1987, createdTime=Sun Sep 02 07:35:14 CST 2018, time=2018-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=342151, encodeId=32273421519f, content=了解一下，谢谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Sat Sep 01 22:11:17 CST 2018, time=2018-09-01, status=1, ipAttribution=)]
    2018-09-01 天地飞扬

    了解一下，谢谢分享！

    0