阴囊至臀部高温钢筋贯通伤一例

A case of high-temperature steel bar penetration injury from scrotum to buttocks

2013年11月17日昆明医科大学第二附属医院收治1例23岁经外院转入的阴囊至臀部高温钢筋贯通伤男性患者。入院后及早行会阴、右大腿、右臀部扩创缝合引流术,术中以1根吸痰管作为扩创引导标识以保证扩创方向及范围的准确性,切口予以负压封闭引流(VSD)治疗,充分引流。术后第20天(入院后第25天),未愈合创面移植右大腿刃厚皮,加强术区引流及换药。伤后53 d,患者创面全部愈合后出院。本病例提示,早期清创后行VSD是治疗高温钢筋贯通伤的有效手段。

On November 17,2013,the Second Affiliated Hospital of Kunming Medical University admitted a 23-year-old male patient with a high-temperature steel bar penetration injury from scrotum to buttocks who was transferred from another hospital.Expanded debridement,suture,and drainage of the perineum,right thigh,and right hip were performed as soon as possible after admission.A sputum suction tube was used as the guide mark for expanded debridement during the operation to ensure the accuracy of the direction and scope of expanded debridement.The incision was treated with vacuum sealing drainage(VSD)and full drainage.On the 20th day after the operation(the 25th day after admission),the unhealed wound was transplanted with split-thickness skin graft from the right thigh,and the drainage of the operation area and dressing change were strengthened.On the 53rd day after injury,the patient was discharged after complete wound healing.This case suggests that VSD after early debridement is an effective means to treat high-temperature steel bar penetration injuries.