治愈烧伤面积100%(Ⅲ°50%深Ⅱ°40%浅Ⅱ°10%)病人创面处理的体会  

CLINICAL EXPERIENCE IN TREATING A CASE OF BURN INVOLVING 100% BSA

作　　者：马恩庆[1] 刘发祝[1] 罗成群[1] 黄晓元[1] 

机构地区：[1]湖南医科大学附一院

出　　处：《中国烧伤创疡杂志》1993年第1期27-29,64-65,共5页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：作者报告一例烧伤面积达100％(Ⅲ°50％深Ⅱ°40％浅Ⅱ°10％)的病例,采用以MEBT、MEBO为主的综合治疗措施,成功治愈,讨论中强调大面积烧伤的治疗必须采取整体与个体辨证施治的综合治疗,创面处理采用合适的创面外用药及植皮等相结合的处理方法以达到尽早消灭创面。作者认为,MEBO对溶痂,深Ⅱ°植皮后及残余创面的治疗效果满意。尤其是在大面积烧伤创面采用其它方法引起的创面脓毒症或败血症时,效果更为显著。The author treated a case of burn involving 100% BSA (third degree50%, deep second degree 40% and superficial second degree 10%). The patient was treated with MEBT and MEBO and was healed. The authors emphasized on comprehensive treatment of the patient, overall analysis of the symptoms and signs, viewing the various parts of the body as an organic whole and unity of the human body with the external environment. In treating the wounds, MEBO was used externally in accompany with skin grafting when necessary, in order to achieve early elimination of the wounds. The authors concluded that MEBO is very effective for dissolving, scab and for healing residual wounds after skin grafting for patients with deep second degree burns, especially for patients with large area burn complicated by sepsis or septicemia.

关 键 词：烧伤面积 病人创面 创面处理 创面外用药 残余创面 全身侵袭性感染 脓毒症 深二度烧伤 烧伤创面 三度烧伤 

分 类 号：R82[医药卫生—临床医学]