大面積燒傷殘余創(chuàng)面圍術(shù)期處理

摘要： 目的觀察濕潤(rùn)燒傷膏(MEBO)對(duì)大面積燒傷患者殘余創(chuàng)面的術(shù)前創(chuàng)面處理療效。方法對(duì)我科2003年3月至2009年12月收治的外院轉(zhuǎn)入我院的65例大面積燒傷殘余創(chuàng)面的患者,入院后常規(guī)取創(chuàng)面分泌物做細(xì)菌培養(yǎng)、浸浴后應(yīng)用燒傷濕性醫(yī)療技術(shù)(MEBT/MEBO)換藥治療、全身給予常規(guī)治療(如糾正貧血、低蛋白血癥、抗感染等)。結(jié)果 65例患者術(shù)前經(jīng)上述方法處理5 d～7 d后行手術(shù)自體皮移植,皮片成活良好,成活率達(dá)90%以上。結(jié)論 MEBT/MEBO用于大面積燒傷患者殘余創(chuàng)面的術(shù)前創(chuàng)面處理,是目前提高術(shù)后皮片成活較理想的方法。
Objective To observe the therapeutic effect of MEBO Ointment used in the management of residual wounds after extensive burns during perioperative periods.Methods 65 patients who,with residual wounds after receiving extensive butn,were transferred and admitted to our hospital between March,2003 and Dec.2009,were enrolled into our study.After admission,the wound secretion was taken routinely to undergo bacterial culture.After being given an immersion bath,the patients were administered MEBT/MEBO in combination with the systemic treatments for anemia,hypoproteinemia, anti-infection,and etc.Results 5～7 days after undergoing the above interventions,65 patients were given autologous skin-grafting.Skin slices had good survival rates of up to 90%.Conclusion Presently,MEBT/MEBO is the ideal approach of improving the survival rate of grafted skin slices in the management of residual wounds after extensive bums during perioperative periods.