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患者男,63岁。因原发性肝癌收入笔者医院内科,予以高强度聚焦超声仪超声治疗。治疗5 d后,见患者右侧胸背部接受超声治疗处皮肤轻度红肿,第7天局部皮肤呈焦痂状,转入烧伤科。入科时见患者右侧腋后线第6、7肋间处有一直径为3．3 cm的圆形焦痂,稍凹陷,边界浅而清楚,创缘红肿(图1a)。次日在全身麻醉下行右胸背部焦痂切除,术中见除局部皮肤全层坏死外,皮下脂肪液化,其深部肌肉呈
Male patient, 63 years old. Due to the primary liver cancer income of the hospital medical department, to be high-intensity ultrasound ultrasound treatment. 5 days after treatment, see the right chest and back of the patient underwent ultrasound treatment at the skin mild swelling, the first 7 days of the local skin was eschar, into the burn department. On admission to the right axillary line, there was a 3.3 cm diameter circular eschar at the intercostal space on the right axillary line, slightly depressed, with a shallow and clear border, creating an inflamed wound (Figure 1a). The next day under general anesthesia underwent right esophageal eschar excision, intraoperative see in addition to local skin full-thickness necrosis, subcutaneous fat liquefaction, the deep muscle was