Patient
Name£º Qian Zhonghao
Gender£º Male
Age Burned£º 41
Check-in Date£º Aug 25,2009
Check-out Date£º Oct 5,2009
LOS£º 40 days
Chief Doctor£º Hong Dong
Hospital£º Burn and Ulcer Middle Hospital, Wuhu

Burn Assessment as Admission
TBSA£º %
Burns Depth£º Diagnosis: Electric shock ulcer on several fingers of left hand with born necrosis, exposed. Medical History: The client carelessly was shocked by high voltage and lost consciousness on 20th, Aug. Then, he was sent to cardiovascular department in one local hospital for the management of heart complications. Three days later, he was shift to surgical department, and there, just provided regular dress-changing. On the fifth day after shock, he was transferred to current hospital. Status of Electric Shock Ulcer: Gangrene on left little and ring finger with grey and white discoloration, obviously swollen. Exposure and rupture of the tip born on left little finger, the skin on the ventral surface of middle and lower part of middle finger had yellowish discoloration and black discoloration on the distal part of middle finger with restriction of knuckle motion.
Complication£º Infection
Cause of Injury£º Electronic shock

Treatment with MEBT/MEBO
Management: After admission, offered uneventful debridement. Excised necrosis tissues. Smeared MEBO on the surface of ulcer, and regularly dress-changed 6 hors per time. Elevation of affected limb. Administered systematic antibiotics. Promoted microcirculation. Cleaned up exudates in time. Gradually Cleaned up the necrotic born tissues, tendon, and deep fascia. During late phase of intervention, bandaged the wound with MEBO, dress-changing once per day, till healing.


Outcome
The wound healed with little scar formation, good skin elasticity, no limb dysfunction and self-care activities

Follow-up
N/A

Figures


Before Treatment


After Treatment With MEBT/MEBO


Follow-up