烧伤创面应用MEBO体温升高的临床观察

Body Temperature Rise After Using MEBO in the Treatment of Burn

自1987年7月至1993年7月，五年来我们中心共收治住院烧伤病人919例，全部采用MEBO治疗。作者共统计185例烧伤面积在30％以上、创面在深Ⅱ度烧伤病人的体温变化，病人早期发热，只要不超过39℃，从理论到实践认识到是一种必然现象。有利于发挥MEBO治疗作用，促使淤滞带组织复活，加快坏死组织分解，使血循环加速，减少局部毛细血管栓塞，促使肉芽组织生长，加速上皮细胞分裂再生，从而使创面愈合较快，所以说应用MEBO治疗烧伤创面，病人体温升高变化是益大于害。

919 cases of burn were treated with MEBO.185of them had a burn area of more than 30%BSA.Patients with deep second degree burns had bodytemperature rise after application of MEBO at theearly stage. It is considered as a normalphenomenon, if the fever did not exceed 39℃. A highbody temperature would be beneficial to the patients,because MEBo can give a better therapeutic effect,the revitalization of the stasis zone tissue can bepromoted and the decomposition of necrotic tissue andblood circulation can be accelerated, local capillaryembolism can be reduced, tissue granulation andepithelium regeneration can be accelerated. In aword, a rise of body temperature after the applicatiionof MEBO has its advantages over its disadvantages.