Résumé
One elderly patient with extremely severe burn was admitted to our department on 4th August, 2017. The patient suffered multiple sustained ventricular tachycardia from post injury day 2 to 4 due to relatively high input volume during shock stage. Amiodarone could not be given through intravenous injection because of his low blood pressure. After consultation with cardiologist, ventricular tachycardia was corrected by electrical cardioversion of several times. According to this case, the first treatment is electrical cardioversion when elderly patient with extremely severe burn shows sustained ventricular tachycardia which can not be corrected with medicine.
Résumé
<p><b>OBJECTIVE</b>To study the effect of island flap from dorsoulnar side of thumb in repairing deep wound on thumb.</p><p><b>METHODS</b>Twenty-two patients with deep wound on thumb were hospitalized from May 2007 to December 2013. The wounds ranged from 2.0 cm x 1.5 cm to 4.0 cm x 2.5 cm in area. Island flap of dorsoulnar thumb was used to repair these defects, with flap area ranging from 2.1 cm x 1.6 cm to 4.1 cm x 2.6 cm. All the donor sites were closed by transplantation of full-thickness skin from upper medial arm.</p><p><b>RESULTS</b>All flaps survived with good blood supply. All deep wounds of thumb were closed. Skin grafts of donor sites all survived. Patients were followed up for 6 to 12 months. The texture, color, and shape of all flaps were satisfactory, and functions of injured thumbs recovered well.</p><p><b>CONCLUSIONS</b>Transplantation of island flap from dorsoulnar side of thumb can be performed easily with high survival rate and satisfactory configuration, and it is suitable for repairing deep wound of thumb.</p>