严重烧伤早期实行MEBT/MEBO的治疗体会

Experiences of MEBT/MEBO Treatment in Early Stage of Severe Burns

目的探讨严重烧伤(重度和特重度)急性渗出期,采用烧伤湿性医疗技术(MEBT/MEBO)防治早期休克的临床效果。方法总结5年来,我院对56例严重烧伤急性渗出期,采用MEBT/MEBO治疗的病历资料,分析他们的休克发生率和液体实际输入量,推导出他们的补液计算参数。结果 56例患者均平稳度过休克期,未发现休克病例,心、肾功能正常;第1个24h每1%烧伤面积计算补液参数为0.9～1.25,第2个24h为0.5～0.65。结论严重烧伤急性渗出期采用MEBT/MEBO治疗,可有效防治早期休克,减少输液量。

Objective To explore the clinical efficacy of MEBT/MEBO in preventing anti treating early shoek in the exudation phase of severe burn （severe and extraordinarily severe）. Methods Summarize elinical data of 56 eases of severe burn patients at the exudation phase in our hospital during the past 5 years, analyze their incidence of shock and aetual amount of fluid infusinn in order to ealcolate the parameters of fluid replacement. Results The 56 patients were ＇,all stable during the shock stage with normal heart, kidney function; fluid replacement parameter of per 1% TBSA is 0. 9 - 1.25 during the first 24 h, 0. 5 - 0. 65 during the seeond 24 h. Conclusion MEBT/MEBO is effective in preventing and treating early shock, reducing amount of fluid infusion at the exudation phase of severe burn.