【摘要】 目前我国所实行的烧伤外科技术是上个世纪50年代初从西方国家引进的,几十年来其治疗主体技术并没有实质性变化,技术核心是让烧伤创面干燥,深度烧伤创面实行切削痂与植皮手术治疗。实践证明,用外科技术治疗烧伤具有很大的局限性,它并不能有效地挽救所有重度烧伤患者的生命,也不能免除烧伤创面愈合后留有瘢痕的痛苦。上世纪末,中国学者徐荣祥教授根据祖国医学"理"、"法"、"方"、"药"理论,创立了烧伤湿性医疗技术:"基本禁止切削痂手术,限制使用抗生素,保持创面生理性湿润,暴露创面和无需植皮"。该方法简便易行,治疗效果也令人满意,克服了烧伤外科技术的某些弊端。由于新技术的主体部分是让创面始终保持湿润状态,冲撞了烧伤外科认为潮湿必定发生细菌感染的理念,从而引发了一场不大不小的争议。为了澄清事实,根据自己过去的研究结果,参照有关文献,从湿性疗法与传统疗法的分歧焦点,重新认识烧伤发病、辩证思维中湿的概念等几个方面进行了讨论。更多还原

【Abstract】 Current burn surgical technology used in China was introduced from western countries in 50s of last century,with little substantial change of its principal technology over past decades.Its core technique is drying burn wounds,treating deep burn wounds with escharectomy and dermatoplasty.It has been proved by practice that it is of big limitation to treat burn injuries with surgical technology which can not effectively rescue all severe burn patients or avoid suffering from scarring after healing of burn wounds.At the end of last century,Chinese scholar Rong - xiang Xu established Moist Exposed Burn Therapy(MEBT),which generally forbids cutting eschar,restricts the use of antibiotics,maintains physiological moist at wound site,exposes the wounds and avoids skin grafting.This is an easy therapy,simple and convenient, having satisfactory therapeutic effect and overcoming certain drawbacks of burn surgical technology.Since the core technique of MEBT is maintaining moist at wounds all along,it challenges the traditional theory that moist certainly leads to infection and triggeres a sort of big controversy.For clarification,with reference to relative literature and in accordance with our previous research results,here we had discussions in aspects of the focus of difference between MEBT and conventional therapy,reconsideration of burn pathology and dialectical thinking of the concept of moist.更多还原