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我科收治1例高压电致全身多处伤的危重患者,抢救成功,报告如下。1病历简介患者男,24岁,因施工时手持钢筋与10 kV高压电线接触而当即昏迷,脱离电源后紧急送至当地县医院,约20 min后自然苏醒,自觉胸痛及呼吸困难,检查发现右侧胸部组织缺损,肺组织外露,用厚敷料包扎胸部后于伤后14 h长途转至我院。入院查体:体温36.8℃,呼吸32次/min,血压118/74 mmHg,心率88次/min;意识清楚,呼吸急促,右侧呼吸音低;双手为入口,胸、腹、会阴、双足为出口。右侧腕部可见9 cm×5 cm焦痂;左前臂、左手背被覆大片焦痂样创面,左手虎口处皮肤碳化,拇指尺侧
I treated 1 case of high-voltage electrical multiple injuries in critically ill patients, the successful rescue, the report is as follows. 1 case history Male, 24 years old, because of the construction of hand-held steel and 10 kV high voltage electrical wire contact and immediately unconscious, from the power and emergency delivery to the local county hospital, about 20 minutes after the natural wake up, conscious chest pain and breathing difficulties, inspection found right Side of the chest tissue defect, lung tissue exposed, wrapped with a thick dressing chest after 14 h injury long-distance transfer to our hospital. Admission examination: body temperature 36.8 ℃, breathing 32 beats / min, blood pressure 118/74 mmHg, heart rate 88 beats / min; consciousness clear, shortness of breath, right breath low; hands as the entrance, chest, abdomen, perineum, For export. The right wrist can be seen 9 cm × 5 cm eschar; left forearm, the left back was covered with large eschar scars, the left hand tiger mouth skin carbonation, thumb ulnar