Volume 39 Issue 8
Aug.  2023
Turn off MathJax
Article Contents
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.

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

doi: 10.3760/cma.j.cn501225-20230506-00158
Funds:

National Key Research and Development Program of China 2022YFC2403000

More Information
  • Electric burn is a kind of three-dimensional destructive damage. It is necessary to attach great importance to the functional reconstruction and rehabilitation of patients with destructive electric burns. Wound repair and limb salvage are not the end of the treatment of destructive electric burns, but functional rehabilitation and reintegration into society of patients are the goals of treatment. This paper systematically discusses the early wound repair, late functional reconstruction and rehabilitation, limb salvage and amputation, minimized damage of donor area, psychological rehabilitation, and multi-disciplinary cooperation of destructive electric burns. Only by attaching great importance to the functional reconstruction and rehabilitation, and embedding these concepts in people's brains, perfect repair and rehabilitation of destructive electric burns can be realized.

     

  • loading
  • [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.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(2)

    Article Metrics

    Article views (994) PDF downloads(31) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return