| 郭西华,邹元明.皮肤原位再生复原技术治疗小儿烧伤的临床体会[J].中国烧伤创疡杂志,2014,(5):323~325. |
| DOI： |
| 中文关键词: 小儿 烧伤 皮肤原位再生复原技术 湿润烧伤膏 疗效 |
| 英文关键词:Child Burns MEBT/MEBO MEBO Treatment Effect |
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| 中文摘要: |
| 目的 观察皮肤原位再生复原技术（MEBT/MEBO）治疗小儿烧伤的临床疗效。方法 对2011年6月-2013年8月收治的113例烧伤患儿，在给予抗休克、抗感染、营养支持等全身综合治疗的同时，创面全程应用湿润烧伤膏（MEBO）包扎或暴露治疗，包扎治疗者每天换药1～2次，暴露治疗者每天换药3～4次，并根据创面情况进行必要的耕耘减张处理，观察其治疗效果。结果 113例患儿烧伤创面全部自行愈合，浅Ⅱ度烧伤创面于治疗后6～11 d愈合，深Ⅱ度烧伤创面于治疗后13～24 d愈合，浅Ⅲ度烧伤创面于治疗后27～45 d愈合；所有患儿治疗过程中均未新发感染，且疼痛较轻；随访6个月～1年5例深Ⅱ度烧伤创面愈后留有轻微色素沉着；3例浅Ⅲ度烧伤创面愈后留有平软瘢痕，无功能障碍。结论 皮肤原位再生复原技术治疗小儿烧伤痛苦小、瘢痕少，疗效显著，是治疗小儿烧伤的首选疗法。 |
| 英文摘要: |
| Objective To observe the clinical effect of MEBT/MEBO in treating pediatric burns．Methods All 113 cases of patients were admitted from June of 2011 to August of 2013. While giving systemic treatment featuring anti-shock, anti-infection and nutrition support, all wounds were treated with MEBO for bandaging or exposed treatment. Patients adopting bandaging treatment received 1 to 2 times of dressing changes a day, and those adopting exposed treatment received 3 to 4 times of dressing changes a day, ploughing and tension relief treatment was applied on wounds when necessary according to wound condition. Treatment effect was observed. Results Burn wounds of the 113 pediatric patients all healed automatically. The wounds of superficial Ⅱ degree healed in 6 ～ 11d, the wounds of deep Ⅱ degree healed in 13 ～ 24d, the wounds of superficial Ⅲ degree healed in 27 ～ 45d. All patients had no new infection and less pain during the course of treatment. Follow-up visits in 6 months to one year found 5 cases of mild pigmentation in healed deep II degree burns and 3 cases of soft flat scar in healed superficial Ⅲ degree burns, but no dysfunction．Conclusion MEBT/MEBO treats pediatric burns with significant therapeutic effect and less pain and mild scar. It is the first choice for pediatric burns. |
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