患者 ,男 ,36岁。被 10 0 0 0 V的高压电烧伤后 4h送入我院 ,受伤后有短暂昏迷 ,对受伤情况不能回忆。查体 :一般情况差 ,心肺腹未见明显异常。专科情况 :电流入口为右手 ,出口为左手及左足 ,右手掌心创面凹陷碳化 ,可见坏死的肌肉、肌腱及骨骼 ,手指发黑 ,屈曲挛缩 ,右手腕环 Patient, male, 36 years old. It was sent to our hospital 4 hours after the high-voltage electric burn of 10 0 0 V, and there was a short coma after the injury. Physical examination: poor general condition, no obvious abnormal heart and lung abdomen. Specialist conditions: the current entrance to the right hand, the left and left exit for the left, the right palm depression carbonized surface, necrotic muscles, tendons and bones, finger black, flexion contracture, the right wrist