病例男,7岁。捕捉落在电线上的小鸟触电,双上肢电击伤。经行前臂清创减压术,血运仍无改善,遂动员截肢,因家属不同意而自动出院。伤后第12天再次入院,双上肢高度肿胀、僵硬、渗液有恶臭。左上肢自肩关节下约6cm 以远缺血坏死,乃行肩关节离断术。右前臂肘关节及腕关节肿胀,右腕关节上约3cm 处有约5cm×4cm 创面,尺骨局部外露,无骨膜,骨皮质呈黄白色。右前臂经清创后,于创面的近侧作约7cm×3cm 及远侧7cm×2.8cm 的横向双蒂皮瓣,两皮瓣相向推进互 Case male, 7 years old. Catching electric birds falling on the wire, double electric shock injuries. Debridement by forearm debridement surgery, blood supply still no improvement, then mobilized amputation, because the families do not agree to be discharged automatically. On the 12th day after injury, he was admitted again. The upper extremities were swollen and stiff, and exudate was stench. Left upper arm about 6cm away from the shoulder joint necrosis, is the shoulder off surgery. Right forearm elbow and wrist swelling, about 3cm at the right wrist about 5cm × 4cm wound, ulna locally exposed, no periosteum, cortical yellowish white. After debridement of the right forearm, a lateral double pedicle flap of about 7 cm × 3 cm and distal 7 cm × 2.8 cm was made on the proximal side of the wound, and the two flaps pushed forward each other