ABSTRACT
No periodo de 27 meses, entre 1991 e 1993, 15 pacientes apresentando lesoes dos membros superiores ocasionados por descargas eletricas foram atendidos no Pronto Socorro de Queimaduras do Hospital das Clinicas da FMUSP. Representam uma condicao frequentemente dramatica, onde o conhecimento da fisiopatologia deste tipo de trauma e condicao fundamental para estabelecer um diagnostico preciso e intervencao mais precoce. Mesmo apos longos periodos de internacao (media:2 meses), a reintegracao desses pacientes determina elevados encargos socio-economicos, devido ao alto indice de sequelas definitivamente incapacitantes. Baseados na experiencia adquirida, preconizamos uma abordagem menos agressiva, porem seguida de frequentes reavaliacoes, que possibilitarao abreviar o periodo necessario para recuperacao desses individuos.
Subject(s)
Humans , Male , Child , Adolescent , Adult , Middle Aged , Electric Injuries/surgery , Forefoot, Human/injuries , Burns, Electric/rehabilitation , Accidents, Occupational , Electric Injuries/physiopathology , Burns, Electric/therapyABSTRACT
Nos muestra las posibilidades reconstructivas, por medio de la microcirugía, reimplantes, transplantes, cirugía de los nervios periféricos y otras tecnologías de avanzada, de las diversas patologías que afectan la mano
Subject(s)
Humans , Surgery, Plastic/methods , Hand/surgery , Amputation, Surgical/methods , Amputation, Surgical/standards , Forearm/abnormalities , Forearm/surgery , Arthritis, Rheumatoid/surgery , Surgery, Plastic/instrumentation , Surgery, Plastic/standards , Freezing , Dupuytren Contracture/surgery , Amputation Stumps/surgery , Toes/surgery , Hand Deformities/surgery , Reflex Sympathetic Dystrophy/surgery , Muscle Spasticity/surgery , Bacterial Infections/classification , Bacterial Infections/prevention & control , Bacterial Infections/drug therapy , Radiation Injuries/surgery , Radiation Injuries/therapy , Artificial Limbs/classification , Artificial Limbs/instrumentation , Artificial Limbs/standards , Hand/anatomy & histology , Peripheral Nerves/surgery , Peripheral Nerves/injuries , Brachial Plexus/surgery , Brachial Plexus/injuries , Thumb/surgery , Thumb/injuries , Burns, Chemical/surgery , Burns, Chemical/therapy , Burns/surgery , Replantation/instrumentation , Replantation/methods , Replantation/standards , Surgical Flaps/classification , Surgical Flaps/instrumentation , Surgical Flaps/methods , Compartment Syndromes/surgery , Nerve Compression Syndromes/surgery , Tendons/surgery , Tendon Transfer/instrumentation , Tendon Transfer/methods , Tendon Transfer/standards , Hand Injuries/surgery , Finger Injuries/surgery , Electric Injuries/surgery , Nails/surgery , Nails/injuriesABSTRACT
Nos muestra las posibilidades reconstructivas, por medio de la microcirugía, reimplantes, transplantes, cirugía de los nervios periféricos y otras tecnologías de avanzada, de las diversas patologías que afectan la mano