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湿润暴露疗法与切痂植皮联合治愈一例大面积烧伤病人的临床体会

A CASE OF LARGE AREA BURN HEALED BY MEBT IN CONJUNCTION WITH ESCHAROTO- MY AND SKIN GRAFTING

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【作者】 孙武成

【Author】 Sun Wucheng (No. 6 Hospital, Daqing City)

【机构】 大庆市第六医院

【摘要】 近来,我们对一例烧伤总面积为95%,其中Ⅱ度占90%,同时合并休克、吸入性损伤,应激性溃疡出血等并发症的烧伤病人,采用了湿润暴露疗法与切痂植皮相结合的治疗方法。病人获得痊愈。病人在入院后接受抗休克的同时,其面、双手、足趾及会阴区即采用了MEBO治疗。因第一次手术切痂后创面自体皮与异体皮均成活不理想。亦改用MEBO治疗。其它Ⅲ度创面均采用分次切痂与自体皮移植同MEBO联合治疗。手术植皮转为MEBO治疗时间一般为术后6天。作者认为,在自体皮肤十分有限的情况下,该疗法是可取的。

【Abstract】 A case of burn involving 95%BSA, with 3rd degree burn amounted to 90%, complicated by shock, inhalation injury and stress ulcer bleeding, was treated with MEBT in conjunction with escharotomy and skin grafting. The patient healed. While receiving antishock treatment, the patient was at the same time, treated with MEBO on face, toesand perineal region. After escharotomy and skin grafted for the first time, the survival rate of the autoskingraft and alloskingraft was very low, therefore, MEBO was applied onto the operation area. Third degree burn wounds of the other parts of the body were treated group after group with MEBO in conjunction with autoskin grafting. The application of MEBO started on the 6th day post operation.The author concluded that while the source ofautoskin graft is very limited, this method is recommendable.

  • 【文献出处】 中国烧伤创疡杂志 ,The Chinese Journal of Burns Wounds & Surface Ulcers , 编辑部邮箱 ,1993年03期
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