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毁损性电烧伤患者的功能重建与康复策略探讨

沈余明 代强

沈余明, 代强. 毁损性电烧伤患者的功能重建与康复策略探讨[J]. 中华烧伤与创面修复杂志, 2023, 39(8): 713-717. DOI: 10.3760/cma.j.cn501225-20230506-00158.
引用本文: 沈余明, 代强. 毁损性电烧伤患者的功能重建与康复策略探讨[J]. 中华烧伤与创面修复杂志, 2023, 39(8): 713-717. DOI: 10.3760/cma.j.cn501225-20230506-00158.
Shen YM,Dai Q.Exploration of functional reconstruction and rehabilitation strategies for patients with destructive electric burns[J].Chin J Burns Wounds,2023,39(8):713-717.DOI: 10.3760/cma.j.cn501225-20230506-00158.
Citation: Shen YM,Dai Q.Exploration of functional reconstruction and rehabilitation strategies for patients with destructive electric burns[J].Chin J Burns Wounds,2023,39(8):713-717.DOI: 10.3760/cma.j.cn501225-20230506-00158.

毁损性电烧伤患者的功能重建与康复策略探讨

doi: 10.3760/cma.j.cn501225-20230506-00158
基金项目: 

国家重点研发计划 2022YFC2403000

详细信息
    通讯作者:

    沈余明,Email:shenyuming1963@163.com

Exploration of functional reconstruction and rehabilitation strategies for patients with destructive electric burns

Funds: 

National Key Research and Development Program of China 2022YFC2403000

More Information
  • 摘要: 电烧伤是一种立体性的毁损伤,要高度重视毁损性电烧伤患者的功能重建与康复。毁损性电烧伤的创面修复、保肢不是治疗的终点,使患者功能康复、走向社会才是治疗的目标。该文从毁损性电烧伤的早期创面修复和晚期功能重建与康复、保肢与截肢、供区损伤最小化、心理康复及多学科合作方面进行了系统论述。只有高度重视功能重建与康复,让这方面的理念深入人心,才能实现毁损性电烧伤的完美修复与康复。

     

  • 参考文献(37)

    [1] 沈余明.高压电烧伤创面修复与功能重建[J].中华烧伤杂志,2018,34(5):257-262.DOI: 10.3760/cma.j.issn.1009-2587.2018.05.001.
    [2] 张丕红,黄晓元,黄跃生.深度电烧伤创面早期修复专家共识(2020版)[J].中华创伤杂志,2020,36(10):865-871.DOI: 10.3760/cma.j.cn501098-20200706-00488.
    [3] 沈余明,马春旭,覃凤均,等.腕部高压电烧伤创面修复与功能重建[J].中华烧伤杂志,2017,33(12):738-743.DOI: 10.3760/cma.j.issn.1009-2587.2017.12.004.
    [4] SauerbierM,OferN,GermannG,et al.Microvascular reconstruction in burn and electrical burn injuries of the severely traumatized upper extremity[J].Plast Reconstr Surg,2007,119(2):605-615.DOI: 10.1097/01.prs.0000246512.47204.da.
    [5] Saint-CyrM,DaigleJP.Early free tissue transfer for extremity reconstruction following high-voltage electrical burn injuries[J].J Reconstr Microsurg,2008,24(4):259-266.DOI: 10.1055/s-2008-1078697.
    [6] 薛继东,狄海萍,梁琰,等.足部微型皮瓣游离移植修复手指Ⅳ度电烧伤创面的疗效[J].中华烧伤与创面修复杂志,2023,39(8):724-730.DOI: 10.3760/cma.j.cn501225-20230323-00094.
    [7] 张伟,陈斓,杨飞,等.上肢毁损性电烧伤的救治方法及其临床疗效[J].中华烧伤与创面修复杂志,2023,39(8):731-737.DOI: 10.3760/cma.j.cn501225-20230530-00188.
    [8] 沈余明.毁损性创面的修复策略[J/CD].中华损伤与修复杂志(电子版),2019,14(2):81-84.DOI: 10.3877/cma.j.issn.1673-9450.2019.02.001.
    [9] KhalidFA,AhmedOA,Jibran RabbaniM,et al.An algorithm for reconstruction of electrical injuries of the scalp[J].Plast Reconstr Surg,2022,150(3):630e-638e.DOI: 10.1097/PRS.0000000000009452.
    [10] KesiktasE,EserC,GencelE,et al.Reconstruction of transhumeral amputation stumps with ipsilateral pedicled latissimus dorsi myocutaneous flap in high voltage electrical burns[J].Burns,2015,41(2):401-407.DOI: 10.1016/j.burns.2014.07.011.
    [11] 沈余明,陈辉,胡骁骅,等.组织瓣移植联合骨延长技术分期修复烧创伤后下肢严重软组织与骨缺损[J].中国修复重建外科杂志,2017,31(2):160-164.DOI: 10.7507/1002-1892.201609117.
    [12] GuoL,ZhangM,ZengJ,et al.Utilities of scrotal flap for reconstruction of penile skin defects after severe burn injury[J].Int Urol Nephrol,2017,49(9):1593-1603.DOI: 10.1007/s11255-017-1635-6.
    [13] 张琮,胡骁骅,陈辉,等.皮瓣或肌皮瓣联合阔筋膜或复合补片修复患者严重腹部高压电烧伤创面的效果[J].中华烧伤杂志,2017,33(10):602-606.DOI: 10.3760/cma.j.issn.1009-2587.2017.10.003.
    [14] 沈余明.腕部高压电烧伤的临床研究与功能重建[J/CD].中华损伤与修复杂志(电子版),2018,13(2):81-84.DOI: 10.3877/cma.j.issn.1673-9450.2018.02.001.
    [15] 张颖,沈余明.腕部高压电烧伤诊治的研究进展[J].中华创伤杂志,2021,37(5):467-472.DOI: 10.3760/cma.j.cn501098-20210105-00010.
    [16] 沈余明,覃凤均,王成,等.穿支皮瓣联合补片修复深度烧伤后瘢痕性腹壁疝[J].中华整形外科杂志,2018,34(12):1000-1004.DOI: 10.3760/cma.j.issn.1009-4598.2018.12.004.
    [17] TarimA,EzerA.Electrical burn is still a major risk factor for amputations[J].Burns,2013,39(2):354-357.DOI: 10.1016/j.burns.2012.06.012.
    [18] BartleyCN,AtwellK,PurcellL,et al.Amputation following burn injury[J].J Burn Care Res,2019,40(4):430-436.DOI: 10.1093/jbcr/irz034.
    [19] 尹凯,程琳,杜伟力,等.169例腕部高压电烧伤住院患者流行病学调查[J].中华烧伤杂志,2020,36(6):433-439.DOI: 10.3760/cma.j.cn501120-20200304-00119.
    [20] 沈余明,覃凤均,杜伟力,等.濒临截肢四肢高压电烧伤患者的保肢策略[J].中华烧伤杂志,2019,35(11):776-783.DOI: 10.3760/cma.j.issn.1009-2587.2019.11.003.
    [21] PedrazziN,KleinH,GentzschT,et al.Predictors for limb amputation and reconstructive management in electrical injuries[J].Burns,2023,49(5):1103-1112.DOI: 10.1016/j.burns.2022.08.007.
    [22] GencelE,EserC,KesiktasE,et al.A cross flow-through pedicle free latissimus dorsi flap for high voltage electrical burns[J].Burns,2016,42(4):e55-60.DOI: 10.1016/j.burns.2015.10.014.
    [23] ChenX,ZhangC,ChengL,et al.Survival and versatility of the flow-through lateral-thigh free flap in severe electrical injuries to the wrist[J].Ann Plast Surg,2020,85(6):612-617.DOI: 10.1097/SAP.0000000000002355.
    [24] HsiaoYC,YangJY,ChangCJ,et al.Flow-through anterolateral thigh flap for reconstruction in electrical burns of the severely damaged upper extremity[J].Burns,2013,39(3):515-521.DOI: 10.1016/j.burns.2012.08.007.
    [25] 杜伟力,胡骁骅,沈余明,等.逆行缝匠肌肌皮瓣修复小腿截肢残端创面[J].骨科临床与研究杂志,2018,3(4):241-245.DOI: 10.19548/j.2096-269x.2018.04.011.
    [26] DePamphilisMA,CauleyRP,SadeqF,et al.Reconstruction of the upper extremity high-voltage electrical injury: a pediatric burn hospital's 13-year experience[J].J Burn Care Res,2022,43(3):696-703.DOI: 10.1093/jbcr/irab177.
    [27] KuruogluD,SemsSA,SampsonBP,et al.Internal magnetic lengthening and reconstruction with free TRAM flap after traumatic transfemoral amputation: a case report[J].JBJS Case Connect,2021,11(2):e20.00967.DOI: 10.2106/JBJS.CC.20.00967.
    [28] GhaliS,HarrisPA,KhanU,et al.Leg length preservation with pedicled fillet of foot flaps after traumatic amputations[J].Plast Reconstr Surg,2005,115(2):498-505.DOI: 10.1097/01.prs.0000149482.96729.11.
    [29] DuW,JiangH,ChengL,et al.Ectopic implantation salvage of the left thumb to reconstruct the right thumb after electrical injury: a case report[J].J Burn Care Res,2022,43(2):499-503.DOI: 10.1093/jbcr/irab223.
    [30] EsquenaziA,DiGiacomoR.Rehabilitation after amputation[J].J Am Podiatr Med Assoc,2001,91(1):13-22.DOI: 10.7547/87507315-91-1-13.
    [31] GlapaK,WolkeJ,HoffmannR,et al.Rehabilitation following the amputation of an extremity[J].Orthopade,2021,50(11):900-909.DOI: 10.1007/s00132-021-04173-x.
    [32] PiotrowskiA,FilletAM,PerezP,et al.Outcome of occupational electrical injuries among French electric company workers: a retrospective report of 311 cases, 1996-2005[J].Burns,2014,40(3):480-488.DOI: 10.1016/j.burns.2013.08.008.
    [33] Mancusi-UngaroHRJr,TarboxAR,WainwrightDJ.Posttraumatic stress disorder in electric burn patients[J].J Burn Care Rehabil,1986,7(6):521-525.DOI: 10.1097/00004630-198611000-00015.
    [34] Hahn-KetterA,AaseDM,PaxtonJ,et al.Psychiatric outcome over a decade after electrical injury: depression as a predictor of long-term adjustment[J].J Burn Care Res,2015,36(4):509-512.DOI: 10.1097/BCR.0000000000000183.
    [35] 张庆富.关注电烧伤所致精神障碍[J].中华烧伤杂志,2020,36(6):415-418.DOI: 10.3760/cma.j.cn501120-20200412-00221.
    [36] 徐秀玲,张静,孙燕秋,等.心理危机干预在四肢高压电烧伤截肢患者中的应用[J].中华现代护理杂志,2018,24(12):1444-1446.DOI: 10.3760/cma.j.issn.1674-2907.2018.12.020.
    [37] RadulovicN,MasonSA,RehouS,et al.Acute and long-term clinical, neuropsychological and return-to-work sequelae following electrical injury: a retrospective cohort study[J].BMJ Open,2019,9(5):e025990.DOI: 10.1136/bmjopen-2018-025990.
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  • 收稿日期:  2023-05-06

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