应用湿润烧伤膏治疗一例特大面积烧伤的救治体会

A CASE OF EXCEPTIONALLY LARGE AREA BURN TREATED WITH MEBO

作者收治一中年女性烧伤,总面积为80％,深Ⅱ度50％、浅Ⅱ度30％。伤后一小时入院。合并呼吸道烧伤,入院时休克,经抗休克病程渡过平稳。因烧伤湿润膏供药不足,仅于双上肢行湿性暴露疗法,余处采用SD—Ag暴露疗法。用湿润暴露疗法者为深Ⅱ度,两周后创面溶解有散在上皮岛,以后逐渐扩散,四周后逐渐皮肤融合,残余创面用网状及邮票状植皮全部愈合,愈合后未留任何疤痕,功能良好。SD—Ag创面溶痂后行植皮愈后。

A middle aged woman with burn area of 80%, deep 2nd degree 50% and superficial 2nd degree 30% and complicated with respiratory tract burn was hospitalized one hour after burnt, in a shck state. After antishock treatment, she passed the shock stage smoothly. For short of drug supply, MEBO was applied only on the upper limbs and the rest of the burn wounds was treated with sulfadiazine silver. After two weeks, deep 2nd de-gree treated with MEBO had the wound surface dissolved and the skin islands fused together in 4 weeks. The residual wound surface was treated with reticular and stamp-shaped skin grafting and all healed leaving no scar. The function was very good. Wounds treated with sulfadiazine silver was followed by skin grafting. The wounds healed after scabs dissolved. Experience: 1. After medication, attention should be paid to prevent disablement. 2. MEBO is very easy to be popularized. It is especially suitable for use in grass-roots units. 3. It is a necessity for modern family. It has no toxic or irritative effect. It is very effective for treating superficial medium and small area burns. No scar will be left.