湿润暴露法治疗烧伤的临床体会  

CLINICAL EXPERIENCE ON THE TREATMENT OF THE MOIST, EXPOSED THERAPY IN BURN

作　　者：张洪聚 李加坤 

机构地区：[1]齐鲁石化公司中心医院 [2]齐鲁石化公司五分院

出　　处：《中国烧伤创疡杂志》1991年第1期38-39,60,共3页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：本文总结介绍了我院自1989年6月至1989年12月采用湿润暴露法治疗烧伤患者24例,经临床观察疗效显著。该疗法有以下优点:1.有明显的止痛效果;2.抗感染作用显著;3.创面愈合时间短;4.使用方便、操作简单,不需特殊设备和条件,适合基层医院推广和门诊使用;5.深Ⅱ度创面可无疤痕愈合。不足之处:对Ⅲ度创面虽可上皮化愈合,但愈合时间较长,拖延了病程。并认为对Ⅲ度创面可先用烧伤湿润膏溶痂,待溶痂后肉芽新鲜后再行植皮。植皮成活后(3-7天)再继续用湿润暴露法。这样既能促进皮片生长扩散,又可预防创面疤痕产生,并能明显地缩短疗程,使本疗法更加完善。This paper describes our experience of healing 24 burn patients with Moist, Exposed Burn Therapy (MEBT) from June to December in 1 989. Our clinical observations showed that the result was positive. The clinical practice shows that MEBT has advantages such as: 1. Stopping pain obviously. 2. Obvious anti-infection effect. 3. Short course of the therapy for the healing of wound. 4. Being easy to use, simplicity for work-ing, needing neither special medical devices nor special working conditions, and being convenient for the small-middle sized hespitals to use widely. 5. Without scarring for deep n degree burn. How- ever, the therapy has its disadvantage of taking rather long time to heal deep Ⅲdegree burn, thus lengthening the wound course. The paper gives three steps of treating deep Ⅲ degree burn. The first is to dissolve scars with the Moist Burn Ointment (MBO). The second is to take SKin grafts after flesh has grown up. The third is to use MEBT once more after the grafted skins come to live (3-7 days). This way not only helps grafted skins to grow and enlarge, but also to prevent wounds from scarring, thus the course of treatment is short-ened.

关 键 词：暴露法 抗感染作用 皮片 烧伤湿润膏 烧烫伤 切痂植皮 烧伤深度 涂药 干燥结痂 水烫伤 

分 类 号：R82[医药卫生—临床医学]