湿润烧伤膏治疗残余创面的体会(附21例报告)

Experience on the Treatment of Residual Wound Surface by the Moist Burn Ointment

目前对烧伤后休克,早期切痂及抗感染治疗都有很大进展,但严重烧伤病人或经不恰当的处理后遗留残余创面,有的甚至引起慢性溃疡,对伤病员的恢复,住院时间延长,甚至因后期创面感染而引起全身并发症,是临床上较棘手而难予处理的问题。今年1～10月我院收治21例烧伤后期残余创面及疤痕性溃疡和慢性溃疡创面应用湿润暴露疗法取得满意疗效。现报告如下:

During the last phase of burn, remained wound used to occur and may last for a long time, sometimes with general complications difficult to tackle. During the period from January-October, 1988,21 cases of late stage of burn with remained wound, crust ulcers and chronic ulcers wound were treated with the Moist Exposed Burn Therapy with satisfactory results. The area of remained wound was 2-3% in average, with the greatest area of 6%. The mean time of healing was 1 9.4 days. Method of wound treatment: 1. Moisten the wound and then apply the Moist Burn Ointment 3-4 times a day; 2.Those granulation with severe edema should be compressed with hypertonic sa-line for 2-3 days and then covered with the Moist Burn Ointment; 3. For crust ulcer, the ointment is applied after debridement and then covered with a layer of paraffin gauze and bandaged. changed twice daily; 4. For chronic ulcers, the wound should be debrided and applied exposure or semi-exposure methods. Apply the paste 3-4 times daily. For severe hypertrophic scar tissue at the joint, when the fissure in the ulcer is rather deep, apply the drug at the superficial portion and then covered with moderatly thick isolated skin flap.