尺动脉腕上穿支皮瓣带蒂转移修复高压电击伤头额部巨大颅骨外露创面1例

One case of large skull exposure wound on the forehead caused with high-voltage electrical injuries repaired with the pedicled transfer flap with supracarpal cutaneous branch of ulnar artery

患者,男,51岁,电工,不慎被高压电击伤头额部,经右侧肢体从右足底部穿出。入院查体:脉搏90次,呼吸22次,血压16.80/9.99 kPa,神志清楚,右肺闻及湿啰音;头额面部有约8 cm×6 cm×0.5 cm软组织烧伤缺损,颅骨外露,左眉内侧约1/2缺损;右足底部约1.5 cm损伤口,边缘发黑;心功能正常,窦性心律;右肺轻度挫伤,有少量积液。实验室检查:RBC 9.6×10^12/L,Hb 120 g/L,WBC 11×109/L,凝血时间正常。