湿润暴露疗法治疗破伤风临床体会

MOIST EXPOSED THERAPY FOR TREATING TETANUS

作者介绍了应用湿润暴露疗法治疗破伤风13例的临床体会。除全身系统治疗外,局部创口采用湿润暴露治疗,治愈率明显提高。其中成人外伤5例,治愈4例,死亡1例。新生儿8例,治愈5例,病危自动出院2例,死亡1例,2例均因窒息而死亡。作者认为:(1)MEBO无刺激性,控制感染较快。(2)有效地阻止细菌繁殖和侵袭,控制毒素释入血循环。(3)具有止痛,自动引流,改善微循环,促进创口愈合等功能。总之,湿润暴露疗法在破伤风的治疗方面开辟了新途径,机理问题有待进一步探讨。

1 3 cases of tetanus were treated with moist exposed therapy. In addition to systemic treat-ment, the wounds were treated with moist ex-posed method. The curative rate was markedly in-creased. 4 out of the 5 adult patients were cured and 1 died. 5 out of the 8 infant patients were cured and 1 died. The other two left the hospital and were not followed up. Suffocation was the di-rect cause of death.The author concluded: 1, MEBO is non-irri-tative. 2, MEBO quickly controls the infection and effectively inhibits the growth of the bacteria and prevents the bacterial toxin from entering the blood circulation. 3, MEBO has analgesic effect. It promotes spontaneous drainage and improves microcirculation and promotes the healing of the wound. Moist exposed therapy opens up a new approach to the treatment of tetanus. The mechanism of its action remains to be further investigated.