湿润暴露疗法治疗烧伤面积98%的临床体会  

CLINICAL EXPERIENCE OF TREATING THE BURN THE BURN WOUND ON A BURNED PATIENT OF 98% TBSA WITH MEBO

作　　者：龙剑虹[1] 马恩庆[1] 刘发祝[1] 钟克勤 谢有富[1] 

机构地区：[1]湖南医科大学附一院烧伤整形科

出　　处：《中国烧伤创疡杂志》1990年第4期4-6,12-64,共5页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：本文报告了一例烧伤面积达98％深Ⅱ度54%、Ⅲ度37％的伤员,全部创面应用湿润烧伤膏及湿润暴露法治疗,获得成功的临床体会,结果表明:该疗法应用于特大面积深度烧伤的创面,可通过湿润创面,液化坏死组织,创面引流、隔离和持续供药,有效地保护创面促进创面愈合,避免其因干燥、感染而使创面坏死加深,是治疗烧伤的一种理想方法。对于Ⅲ度较大面积烧伤,作者认为该疗法一旦创面脱痂后形成新鲜的肉芽创面,即应尽早植皮,以缩短疗程。文章还对湿润暴露的使用方法及其应用于特大面积烧伤的优点作了介绍。It was reported that the successful experience in treating burn wound on a patient of 98%TBSA by means of the Moist Exposure Burn Ointment (MEBO) and Moist Semi-exposure therapy in this article. The result showed that the Moist Semi-exposure therapy not only could be used on the wound of extensive burns, but also could preserve the wound to avoid drying and infection and could promote the wound to heal up through supplying the wound with moist enviroment, liquidizing the necrotic tissues, draining and iso- lating the wound. It is a good therapy of treating burns. Talking about the Full-thickness burns, we consider that once the eschar of burn wound is shed and the fresh granulation is formed, the skin-grafting should be performed as early as possible in ordor to shorten the period of treat-ment. The advantages and method of moist semi-exposure therapy was also introduced in the article.

关 键 词：烧伤面积 湿润暴露疗法 湿润烧伤膏 削痂 切痂植皮 液化坏死 休克期 坏死组织 暴露法 脱痂 

分 类 号：R82[医药卫生—临床医学]