MEBT/MEBO在高原地区的应用体会

Application of MEBT/MEBO in Plateau Area

大面积深度烧伤的治疗在高海拔的甘孜藏族自治州一直是个难题。临床实践证明,皮肤原位再生医疗技术(MEBT/MEBO)在高原藏区治疗大面积深度烧伤有效地提高了患者的生存率,降低了愈后残疾率,操作简便、费用低廉、疗效快、实用性强。技术要点:必须规范应用MEBT/MEBO,早期及时清创,耕耘、薄化,使坏死组织液化排除;病房温度保持在28℃～30℃,湿度在50%以上以发挥最佳药效;及时、高效、足量使用抗生素,有效控制感染后,及时停用抗生素;给予静脉高营养;预防并发症:常规应用破伤风抗毒素;重症患者早期行气管切开;避免多器官功能衰竭;预防深静脉血栓形成,改善心、脑、肾血液循环;预防应激性溃疡发生等。下图是临床应用的典型病例图片,详细病例资料清观看本期杂志所附光盘。

The treatment of extensive deep burns is always a tough problem in the high-ahitude Ganzi Tibetan Autonomous Prefecture. Clinical practice has proved that MEBT/MEBO can be used to treat extensive deep burns in plateau urea and effectively improve the survival rate of patients, reduce the disability rate after healing with the eharaeteristics of easy-to-operate, low expense, fast therapeutic efficaey and high praetical applicability. The key points of applying MEBT/MEBO are as follows： apply MEBT/EMBO standardly with timely dehridement and incision as well as thinning at an early stage so as to liquefy and remove necrotic tissues; the ward temperature shouht be 28℃ -30℃ and the humility be 〉50% to make sure the hest medication effect; timely ad,ninister large amount of antibiotics systemically and timely stop the use of antibiotics once the infection is well controlled; provide nutrition by I. V. ; prevent complication, use teranus antitoxin routinely; perform tracheotomy at early lime for severe patients; avoid the failure of multiple organs; prevent venous thrombusis; improve the circulation of heart, brain and kidney; prevent stress ulceration and so on.