MEBT/MEBO治愈烧伤面积91%(Ⅲ°48%)并吸入性损伤的体会  

A Patient with 91% TBSA Burn (Ⅲ°48%) Complicated by Inhalation Injury Cured by Trating with MEBT/MEBO

作　　者：王广顺[1] 徐西胜[1] 李承存[1] 孔杰 杨玉风 左春霞 刘霞[1] 

机构地区：[1]山东省泰山医学院附院,泰山烧伤中心271000

出　　处：《中国烧伤创疡杂志》1999年第1期21-23,共3页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：收治一例延期入院的成人特大面积烧伤，烧伤总面积91％，其中浅Ⅱ°18％，深Ⅱ°25％，Ⅲ°48％。伴吸入性损伤、烧伤休克、低蛋白血症及红细胞聚集症等。经正规化的MEBT／MEBO治疗，并辅以“耕耘”疗法等，创面意合较快，抗休克首先重视强心，保护肾功能，补液按“缺多少，补多少”的原则，使每小时尿量大于50ml。抗感染除强化创面处理外，预防性抗生素只使用9天，以后视伤员意识障碍、高体温、中性粒细胞出现中毒颗粒等情况，短程静脉滴注复达欣等广谱抗生素。病人救治成功，也由于全疗程重视了营养支持和对内脏功能的保护。A patient with 91 % TBSA burn, among them superficial second degree 18%, deepsecond degree 25% and third degree 48%, complicated by inhalation injury, shock, hypoproteinemiaand hemagglutination, was treated with MEBT/MEBO in a pmper way and associated with 'ploughingand weeding'therapy. The wounds healed quickly. Anti-shock measures including cardio-tonic, re-nal function protecting and fluid infusion to keep the urine volume no less than 50 ml/hour, etc. wereadopted. Anti - infection measures included the application of antibiotics for 9 days for preventive pur-pose and then intravenous infusion of broad spectrum antibiotics when necessary. Sufficient nutritionsupport and protection of organ function played a very important role in the successful treatment of thepatient.

关 键 词：烧伤 吸入性损伤 湿润暴露疗法 湿润烧伤膏 

分 类 号：R644.05[医药卫生—外科学]