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The application of ultrasonography to estimate blood vessel injury of upper limbs sustaining electric burns / 中华外科杂志
Chinese Journal of Surgery ; (12): 932-934, 2003.
Artículo en Chino | WPRIM | ID: wpr-311176
ABSTRACT
<p><b>OBJECTIVE</b>To explore a new method in estimating extent and degree of arterial injury in upper limbs sustaining high tension electric burns.</p><p><b>METHODS</b>Eighteen patients (twenty-four upper limbs) with high tension electricity injury were admitted from December 1998 to September 2002, The damaged limbs consisted of four parts wrist wound part, 5 cm, 10 cm, 15 cm parts around wrist wound, where the radial and ulnar arteries were detected using B ultrasound and color WP Doppler examination. The changes of endangium, vessel diameter, thickness of the vessel wall and volume of blood flow were recorded respectively. The parameters of normal radial and ulnar arteries were also determined as normal control.</p><p><b>RESULTS</b>B ultrasound and color WP Doppler examination showed that the endangium in radial and ulnar arteries become coarse, edema or exfoliation. The vessel wall was thicker than that of the normal control and the thickness was heterogeneity. The vessel wall could be necrosis in severe patient and the vessel cavity was stricture or beaded. Thrombosis or occlusion could occur at the site of severe injury area in vessel. The decrease in volume of blood flow was observed. The condition of the radial and ulnar arteries become well apart from 10 - 15 cm of wrist wound.</p><p><b>CONCLUSIONS</b>The ultrasonography can be used to detect the changes in endangium, diameter, thickness of the vessel wall, blood flow volume in injury blood vessel caused by electric burn injury. It is helpful in judging the degree and extent of injury vessel and could be a safe, non-invasive diagnostic method and is worth popularizing.</p>
Asunto(s)
Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Heridas y Lesiones / Traumatismos de la Muñeca / Quemaduras por Electricidad / Diagnóstico por Imagen / Ultrasonografía / Arteria Cubital / Arteria Radial Tipo de estudio: Estudio diagnóstico Límite: Adolescente / Adulto / Femenino / Humanos / Masculino Idioma: Chino Revista: Chinese Journal of Surgery Año: 2003 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Heridas y Lesiones / Traumatismos de la Muñeca / Quemaduras por Electricidad / Diagnóstico por Imagen / Ultrasonografía / Arteria Cubital / Arteria Radial Tipo de estudio: Estudio diagnóstico Límite: Adolescente / Adulto / Femenino / Humanos / Masculino Idioma: Chino Revista: Chinese Journal of Surgery Año: 2003 Tipo del documento: Artículo