虽然大家对电的安全防范知识有了很大的了解，但腕部电烧伤仍时有发生。腕部高压电烧伤一旦发生，往往是毁损性的，截肢率、致残率极高，甚至危及生命，是烧伤外科治疗的重点和难点之一，也是对烧伤外科医师一个极大的挑战。本文系统回顾了腕部高压电烧伤的分型，早期诊断，包括采用早期焦痂切开减张、早期清创、早期用血运丰富的组织瓣修复的早期治疗，探讨了腕部电烧伤早期清创的时机、清创的范围，强调了腕部电烧伤血管损伤治疗的重要性，总结了腕部电烧伤治疗的一些新的技术和手段，明确了腕部电烧伤创面治疗是基础，更重要的是早期康复和功能重建。

Although people have a great understanding of the safety knowledge of electricity, electrical burn of the wrist still occurs. Once the high-voltage electrical burn of the wrist occurs, it is often damaged, the rate of amputation and the disability are very high, and even life is endangered. It is one of the key and difficult points in the surgical treatment of burn, and it is also a great challenge to the surgeon of burn. This paper systematically reviews the classification and early diagnosis, early treatment including early fasciotomy for decompression, early debridement, early transplant of tissue flap with abundant blood supply of high-voltage electrical burn of the wrist. The time of early debridement and the scope of debridement are discussed. The importance of vascular injury treatment for electrical burn of wrist is emphasized. Some new techniques and methods for wrist electrical burn treatment are summarized. It is clear that the treatment of wrist electrical burn wounds is the foundation, and more importantly, early rehabilitation and functional reconstruction.