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机构地区:[1]解放军第322医院烧伤科
出 处:《中国烧伤创疡杂志》1991年第4期48-67,共2页The Chinese Journal of Burns Wounds & Surface Ulcers
摘 要:1989年5月—1991年2月,我们采用湿润暴露疗法共治疗14例深度烧伤及冻伤引起的骨外露患者,无一例植皮,全部愈合。我们体会到:湿润暴露疗法治疗骨外露方法简便,不需手术,疗效好,功能恢复较理想,与烧伤创面的治疗同时进行,缩短了疗程,适用于各级医疗单位,便于推广。From May 1989 to February 1991. the au-thors treated 14 patients with bone exposure caused by cold injury and deep burn. Among them 2 patients had cold injury, 3 patients were burned by electric shock, 2 by molten iron, 1 by hot adobe and 6 by flame. Location of exposed bone: 28 bone exposed areas were located in the fingers, 2 in toes, 3 in heels, 1 in anterior tibia and 1 in forehead. One of them after removing necrotic bone cortex had marrow cavity open. Area of ex-posed bone: the largest 7 × 3.5cm2, the smallest 2 × 1 cm2, average area 3.1 × 1.8cm2. All the patients healed by treating with MEBO. None of the pa-tients had secondary infection. No skin grafting was needed. The shortest healing period was 1 2 days and the longest 46 days. Average healing pe-riod 24.7 days. The restoration of the function was found to be very good after followed-up for 6 months. Moist exposed therapy gives very good re-sults in treating bone exposure. The therapy is easy and simple and requires no surgical operations. Bone exposure and burn wounds can be healed at the same time, so that the therapeutic course can be shortened. This therapy is suitable for medical units of various levels and is worthy to be popularized
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