摘要
1977～1985年间共收治上肢电击伤患者53例,其中一侧上肢高位电击伤者19例,占35.8%.15例只做肩关节离断手术,结果有3例因术后创口感染而裂开,腋动脉残端受累,引起大出血(2例经腋动脉第二段结扎,1例经锁骨下动脉结扎止血,均痊愈出院),4例在行肩关节离断前先作腋动脉第二段结扎手术,结果无一例发生出血。故我们认为防治上肢高位电击伤肩关节离断后腋动脉大出血,宜行腋动脉第二段结扎手术。此种手术还可减少术中出血、缩短手术时间、并较作锁骨下动脉结扎术简便。
A total of 53 cases of electric burns were admitted to our unit during the 1977～1985 period.In 19 cases an upper limb was involved,accounting 35.8 percent of the total.In 15 cases disartieulation of the shoulder was done,and in 3 of them a profuse hemorrhage from the axiliary artery occurred as a result of infection of the amputation stumps.The second segment of the axillary artery was ligated during the amputations in the other 4 eases,no hemorrhage occurred in them.
