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我院收治2例颌颈部高压电击伤所致洞穿性缺损,致喉咽瘘病人,选用刃厚皮缝合于胸锁乳突肌肉面作衬里,修复洞穿性缺损,减免了衬里皮瓣的使用,简化了手术过程,取得了良好效果,现报告如下。例1男,59岁,高压电击伤8日,右食指干性坏死,右前臂有约6cm×8cm 创面,舌骨上方有4cm×10cm击穿口,直通会厌,创周有较多坏死组织。分泌物较多,钡餐透视大部分钡剂自颌下瘘口漏出,少许进入食道,食道粘膜正常,不能正常饮食,留置胃管,鼻饲饮食,入院4天后,气管切开,行颌下创面清创,截除右食指,右
In our hospital, 2 cases of penetrating defect caused by high-voltage electrical injury of the neck and neck were treated. The patients with throat pharyngeal fistula were sutured with sutured sternocleidomastoid muscle to repair the penetrating defect of the sternocleidomastoid muscle, which reduced the use of lining flap , Simplifying the operation process and achieved good results, are as follows. Example 1 Male, 59 years old, high-voltage electric injury on the 8th, the right index finger dry necrosis, the right forearm about 6cm × 8cm wound, hyoid hypostatic 4cm × 10cm puncture mouth, through the epiglottis, a week more necrotic tissue. Most of the secretion of barium meal most of the barium leak from the mandibular fistula, a little into the esophagus, normal esophageal mucosa, can not be normal diet, indwelling stomach tube, nasal feeding diet, admission 4 days after tracheotomy, line submandibular wound Create, cut off the right index finger, right