门诊治疗中小面积烧(烫)伤75例体会

Experience in Treating 75 Outpatients with Middle and Small Area Burn

我科门诊自1997年2月至9月，半年来共收治中小面积烧（烫）伤病人75例，因创面处理及时正确，缩短了病人的康复时间，减轻了病人痛苦。我们感到在处理创面在早期应在未发生休克之前（6小时内）以简易清创为好，在面积不大于20％者早期应用冷水淋洗或浸泡以减轻烧伤深度，减少病人痛苦，愈早愈好，过晚无效。清创后多敷湿润烧伤膏（1毫米），千万不要过厚，本组遇到外来病人因用湿润烧伤膏过厚，多日不换药以致感染加重，经充分清创后改用浅层涂药（1毫米），充分暴露才控制了感染，很快愈合。故好药还要应用正确用药方法，否则，便有利为有害，应引为教训。

75 outpatients with middle and small area burn were treated. The patients healedvery quickly because the treatment was very timely and was conducted in a proper way. The au-thor suggested that the wounds should be treated early before shock stage (within 6 hours postburn). Simple debriedement is advised. Wound area smaller than 20%TBSA can be rinsed withcold water or soaked in water to prevent wound deepening and relieve pain. This should be doneas early as possible. After debriedement, MEBO was applied to 1 mm thick then the woundsshould be completely exposed. In this way, wound healing can be promoted.. MEBO appliedthicker than 1 mm is harmful to prevention of infections. Misuse of MEBO will affect its efficacyand produce bad results.