湿润烧伤膏在大面积烧伤中的应用(附21例报告)

APPLICATION OF THE MOIST BURN OINTMENT TO THE TREATMENT OF LARGE BURNS

1988年1月以来,在我们救治的大面积烧伤病人(按1970年全国烧伤会议的分类标准:烧伤总面积50o以上或Ⅲ°20%以上者)中,有21例应用了湿润烧伤膏,获得满意效果。临床资料一般情况:1.21例中男15例,女6例。2.年龄:6～12岁3例,26～36岁4例,20岁左右14例。3.烧伤原因:汽油13例,沸水烫伤3例,工业蒸气烫伤2例,火药1例,煤油1例,一般火焰1例。4.烧伤面积:总面积80～100％6例,其中Ⅲ°11～45％,深Ⅱ°20～32％,浅Ⅱ°10～40％4例。深Ⅱ°80％,浅Ⅱ°20％1例,深Ⅱ°40％。

Since January 1 988, we have treated 21 large burns with the Moist Burn Ointment. Of them, the largest bum area was 100% (80 per cent of the deep second degree burn and 20 per cent of the shallow second degree burn); the smallest 30%(21 per cent of the third degree burn, 4 percent of the deep second degree and 5 per cent of the shallow second degree). 1 6 of them were cured (the average curing time being 36 days), 5 died. The article carries-the clinical data and the methods employed, stresses on the discussion of advantages and disadvantages of the ointment, of the time and area of the application. Importance is attached to the treatment integrating the Chinese medical science with the Western one. combining the use of the ointment with escharectomy and skin grafting. The analysis of the five dead pa-tients indicates that it is necessary to prevent gen-eral complications of the large burn. The research is needed in the field of the amount and the quali-ty of the infused fluids when the ointment is ap-plied.