MEBT/MEBO在大面积深度烧伤的临床应用与疗效观察(附51例病例报告)

Clinical Application and Efficacy of MEBT/MEBO in Treating Deep Large Area Burns (A Report of 51 Cases)

本文报告了51例大面积深度烧伤应用MEBT／MEBO治疗过程，其中最大面积96％，平均烧伤面积60．78％，平均Ⅲ度面积36．47％，51例病例中，烧伤23例占45．09％，热高压蒸汽烫伤24例占47．05％，化学烧伤4例占7．84％，对烧伤休克期的病理生理变化，早中后期创面处理原则，以及血液生化指标变化。MEBO抗感染机理进行了综合分析探讨，51例大面积烧伤病人全部采用MEBT/MEBO治疗，除一例因经济困难，未能坚持正规MEBT/MEBO原则进行治疗，于伤后10天合并多脏器功能衰竭，上消化道大出血死亡外，其他50例全部治愈，治愈率98．03％。治愈的50例中，其中3例于伤后40天配合少量植皮消灭创面，植皮面积10％以下，其中47例全部自行愈合，创面平均愈合天数33．27天。治愈的病人无一例致残及严重功能障碍，通过51例大面积深度烧伤病人的临床治疗观察即可认为：MEBT／MEBO可应用于任何面积、任何深度的烧伤病人，重声、是正确应用MEBT／MEBO技术，对深度烧伤一般不需植皮，创面均可愈合。MEBT／MEBO对大面积深度烧伤，早期可减少并发症发生，后期可减少致残及疤痕形成，明显提高治愈率。

51 cases of deep large area burn were treated with MEBT/MEBO. The largest burn area was 96%, average burn area 60. 78 %, average third degree burn area 36. 47 %. Among them, 23 cases were burned by fire, accounted for 45. 09 %; 24 cases scalded, accounted for 47. 05 % and 4 cases burned by chemicals, accounted for 7. 84%. A comprehensive analysis of the pathophysiological changes during shock stage, wound treating principle at the early, middle and later stages and changes in blood biochemical iridexes was made. All the patients were treated with MEBT/MEBO, except for one case who could riot persevere with proper MEBT/MEBO treatment and died from MSOF complicated with digestive tract hemorrhage. All the 50 cases were cured. The curative rate was 98. 03 %. Among them 3 cases had wound healed by small area skin grafting (less than 10% ), 47 cases healed spontaneously. Average healing time was 33. 27 days. Norie of them had disablement and severe dysfunction. This result proved that MEBT/MEBO is efficacious in treating burns with any area and depth. It is important to apply this technique in a proper way. Usually no skin grafting was needed for deep burn. The incidence of complications, the disablement rate and scar forming rate were reduced and curative rate was increased.