湿润烧伤膏治疗成批大面积烧伤的护理

THE NURSING OF GROUPS OF PATIENTS WITH LARGE AREA BURNs Treated WITH MEBO

1990年5月19日因运输客车火药爆炸,39例乘客烧伤,8例当场死亡,31例送我院治疗。至5月25日9例伤员因呼吸道烧伤死亡。另12例伤员转送上级医院,我院留治10例伤员为病情最重不宜转送的病例,面积50％以上者5例,20—29％者5例,最大面积为75％。经用湿润暴露疗法,10例伤员全部痊愈,本文特将护理工作作一总结。

39 passengers were burnt when gun powder explosion happened in a train. 8 victims died on the scene and 31 were hospitalized. 9 with respiratory tract burn died in a week. 1 2 were trasferred to other places and the remaining 10 pa-tients were very seriously burnt. 5 had burn area more than 50% (the largest 75%)and 5 20-29%. All the 10 healed by treating with MEBO. The nursing experience is summarized as fol-lows: 1. Strict sterilization and isolation to aviod cross infection. 2. Timely application of MEBO and cleaning of the wounds to prevent the wounds from being pressurized for a long time, thus the granulation is protected and adequate concentration of the ointment is maintained. 3. Good nutrition supply and psychological nursing. The advantages of MEBO are: 1. No pain. 2. No infection and no deepening of the wound. 3. No scar and no need of special facilities.