【摘要】 作者应用烧伤湿润暴露疗法治疗50例,总结了应用该疗法的护理体会与治疗经验。对头面部烧伤,提出应首先彻底清创,毛发部位用消毒剃头刀剃光所有毛发,清创后再涂药。并例举一男孩因未剃发造成创面污染形成脓痂,引起高热,经应用抗生素及对症处理,效果不佳,持续高热5天,彻底清除毛发与脓痂后涂新鲜药膏,高热立即消退。对治疗中出现的局部或全身皮疹过敏样现象,提出了创面涂药太厚、液化物清除不及时、不彻底、致正常皮肤被浸渍有关。对疤痕的治疗作了观察。用药7天疤痕组织开始变薄变软,15天后见有毛细血管网出现,25天后痛痒基本消失,疤痕变的更软,已强直的关节可伸屈活动,40天后有新生皮肤,扶拐下床活动,60天活动自如,创面平整,弹性良好。更多还原

【Abstract】 The authors used moist exposed therapy for treating 50 cases of burn. This paper summarizes their experience in the nursing and the treatment. For craniofacial burns, the first thing to do is thor-ough debriedement. Pilial parts should be shaved using a razor. MEBO should be applied after shav-ing and debriedement. A boy who was treated with MEBO, without shaving and debriedement. The wounds were infected. Purulent scabs formed. He had a high fever for 5 days. Admini-stration of antibiotics and other expectant treat-ment proved futile. After shaving and debriedement and clearing away the purulent scabs, MEBO was applied again. His body tem-perature turned normal quickly.The authors suggested that appropriate thickness of the smearing of MEBO and timely and thorough removal of the liquefied products were necessary, otherwise the skin would be macerated and allergic reactions such as skin rash would occur.7 days after the application of MEBO, the scar tissue became thin and soft. After 15 days, microvascular net began to appear and after 25 days, pains and itching were alleviated and the scar tissue became thinner and softer. The stiff joints became flexible and extensible. After 40 days, newly grown skin began to appear. The pa-tients could walk with the aid of a cane. After 60 days, the patients could move about freely. The wounds became smooth and had good elasticity.更多还原