CAJ | 학술논문

目的：探讨严重胸部高压电烧伤的临床特点及皮瓣移植的治疗效果。方法对6例胸部严重高压电烧伤合并肋骨和（或）肺组织烧伤坏死的患者创面采用皮瓣转移与游离皮瓣移植术治疗，观察治疗效果。结果6例患者中有4例患者创面Ⅰ期愈合，1例患者创面因皮瓣部分缺血坏死而行二次植皮手术后Ⅱ期愈合，1例患者因术后2h病情恶化而死亡。结论皮瓣移植术是治疗严重胸部高压电烧伤创面的有效方法，成功的关键在于皮瓣的设计及手术时机的选择。
목적：탐토엄중흉부고압전소상적림상특점급피판이식적치료효과。방법대6례흉부엄중고압전소상합병륵골화（혹）폐조직소상배사적환자창면채용피판전이여유리피판이식술치료，관찰치료효과。결과6례환자중유4례환자창면Ⅰ기유합，1례환자창면인피판부분결혈배사이행이차식피수술후Ⅱ기유합，1례환자인술후2h병정악화이사망。결론피판이식술시치료엄중흉부고압전소상창면적유효방법，성공적관건재우피판적설계급수술시궤적선택。
Objective To investigate the clinical characteristics of severe high voltage electric burns on chest and the treatment efficacy of skin flap transplantation. Method Six patients with severe high voltage electric burns on chest com-bined with necrotic burns of rib and ( or) pulmonary tissues were treated with flap transfer and free flap transplantation. The treatment efficacies were observed. Result Four out of six patients achieved primary healing; and secondary healing hap-pened in one patient after the second skin plantation surgery due to ischemia and necrosis of the original skin flap;one died 2 hours after surgery due to deteriorating conditions. Conclusion Skin flap transplantation is an effective means to treat severe high voltage electric burns on chest. The key to success is the design of skin flap and the selection of timing of surgery.