| 程德跃,陈立宴,王建学,刘千肇.皮肤原位再生复原医疗技术在磷烧伤创面修复中的临床应用[J].中国烧伤创疡杂志,2012,24(4):319. |
| DOI：10.3969/j.issn.1001-0726.2012.4.024 |
| 中文关键词: |
| 英文关键词: |
| 基金项目: |
|
| 摘要点击次数: 2480 |
| 全文下载次数: 2444 |
| 中文摘要: |
| 磷烧伤是热力和化学物质的复合烧伤, 通常创面较深, 严重者可达骨骼。本院烧伤科2006 年1 月至2010 年12 月共收治磷烧伤住院患者248 例, 均采用皮肤原位再生复原医疗技术(MEBT/ MEBO) 治疗, 创面愈合好, 所有患者均无功能障碍, 临床效果满意。治疗要点如下: 1． 清除创面上的磷颗粒, 避免与空气接触燃烧; 2．在第1 个24 h内, 每2 h换药1 次, 以尽快排除创面残留的磷; 3． 次日, 进行药刀结合, 耕耘、搔刮创面, 每6 h清理创面更换MEBO 药膏1 次, 在去除残留药膏时再配合搔刮、耕耘创面, 每日1 次, 连续3 d; 4． 伴有吸入性损伤者, 现呼吸困难或肺水肿时, 尽早行气管插管或切开; 5． 严格按照MEBT/ MEBO 规范进行系统治疗和局部换药。 |
| 英文摘要: |
| Phosphorous burns is a kind of composite thermal and chemical burns, the wound is generally much deep
and may down to bone in severe case. A total of 248 cases of phosphorous burns were enrolled into our burns department between
Jan． 2006 and Dec． 2010, and all were treated with MEBT/ MEBO. The clinical therapeutic efficacy was good in that all
the wounds were healed and no patient developed dysfunction. The key points of treatment are as follows: 1. Remove the phosphorus
granules to avoid burning upon contact with air; 2. During the first 24 hours, change dressing every two hours so as to
remove the residual phosphorus as soon as possible; 3. On the second day, use MEBO combined with surgical methods including
incising and scraping the wounds, clean the wound and change MEBO every 6hrs. During the re-dressing, remove the
remnant MEBO and scrape and incise the wound once daily for three days; 4. For the cases of inhalation injury and complicated
with dyspnea or pulmonary edema, perform trachea cannula or tracheotomy timely; 5. Strictly follow the standard procedures
of MEBT/ MEBO to perform systemic treatment and topical dressing change. |
|
|
|
|
