1 case of face and neck high voltage electrical injury with brain injury care.docVIP

 PAGE \* MERGEFORMAT 9 1 case of face and neck high voltage electrical injury with brain injury care With the social and economic development, deepening the process of industrialization, burn patients developed some new changes, such as the increasing number of patients with electrical injury, illness are becoming increasingly complex, such as electrical injury is often associated with other injuries. I Division in 2009 1 case of face and neck were treated with brain injury in high-voltage electrical injury patients, the flap tissue and wound repair defects, reasonable care, have been discharged, now care reported as follows. A case report Patients, male, 20 years old, due to careless work by high voltage electric burn the face and neck, upper limbs and falls from a height 1h. Coma after injury, sent to the local hospital, anti-shock, anti-tetanus treatment, emergency tracheal incision. admission examination: fuzzy mind, spirit wilt, can not call the response, body temperature 38.4 , heart rate 144 times / min, breathing 28 times / min, blood pressure 137/105mm Hg. craniofacial and neck and severe edema, facial, neck, shoulder, upper limbs multiple eschar and neck for the current entrance, large areas of damaged muscle deep wound eschar. right side of the trunk, upper limbs scattered in various wound eschar, as current export, both upper limb peripheral circulation can be . head CT examination: skull fracture, intracranial hematoma. to take off the side edge of the principle of compensation, appropriate restrictions on the supply of water to prevent brain edema, to dehydration, vascular spasm, nerve and other nutrition-based treatment, and supplemented for the burn symptomatic treatment. 58h after injury, debridement to remove necrotic muscle tissue, the right latissimus dorsi flap surgery [1]. Return of surgery intensive care unit, ventilator-assisted breathing .4 d becoming clear that within the mind, spirit wilt slightly, and call to answer , nea