患者,男,5岁。因触万伏高压变电器,烧伤头颅及全身多处伴昏迷、无尿2小时而入院。检查:神志不清、颜面苍白。双侧瞳孔等圆等大约2mm,对光反应迟钝。左颞部及枕后大片头皮烧焦,颅盖骨裸露面约12×100m,其中间4×3cm颅骨炭化变黑,中心区已击穿缺损并见变黑脑膜。右颈后皮肤大片烧焦缺损,深达肌层并见部分颈椎骨外露。双手及前臂部分皮肤烧焦、左腕内侧 Patient, male, 5 years old. Due to touch 10000 volts high voltage transformer, burn head and body with many coma, no urine for 2 hours and admitted to hospital. Check: unconscious, pale face. Pupil and other bilateral round about 2mm, unresponsive to light. Left temporal and occipital scalp scorch, calyx exposed surface of about 12 × 100m, the middle of 4 × 3cm skull carbonized black, the central area has penetrated the defect and see blackening of the meninges. Right after the vast area of ​​the skin scorched defect, deep musculature and see some cervical vertebrae exposed. Hands and forearm part of the skin burned, left wrist inside