湿性医疗技术救治成批硝化棉烧伤的临床体会

Clinical experience with MEBT/MEBO in treating patients burned by nitrocellulose in group

目的 :总结湿性医疗技术救治成批硝化棉烧伤的临床救治经验。方法 :对 2 0 0 0年 9月 ,同时收治的 11例硝化棉烧伤并吸入性损伤患者 ,烧伤创面全程采用MEBT/MEBO治疗 ,同时根据病情予以全身综合治疗、吸入性损伤气管切开及雾化吸入治疗。Ⅲ度创面在逐渐去除坏死组织层的基础上 ,外用湿润烧伤膏 (MEBO)全程湿性暴露 ,促进皮肤原位干细胞再生修复。结果 :11例患者全部治愈 ,Ⅲ度创面在MEBT/MEBO治疗下自然愈合 ,功能基本正常。结论 :MEBT/MEBO可加速硝化棉毒排泄 。

Objective: To sum up the experience with MEBT in treating patients burned by nitrocellulose in group. Method: 11 cases burned by nitrocellulose complicated by inhalation injury were treated with MEBT/MEBO in association with systemic treatment. Because of complication by inhalation injury, tracheotomy and aerosol inhalation were applied. For 3rd degree burn wounds, necrotic tissues were removed and then MEBO was applied in exposed way to promote in situ regeneration of skin. Result: All the patients were cured. Third degree burn wounds healed spontaneously with normal function. Conclusion: MEBT/MEBO can promote removal of the toxic substances in nitrocellulose and healing of burn wounds.