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MEBT/MEBO治疗手部小面积电烧伤创面28例临床分析

2010年-07月-28日 来源:中国烧伤创疡杂志社

徐 刚,周荣芳

扬州大学医学院附属苏北人民医院烧伤整形科, 江苏 扬州 225001

 

【摘要】目的:回顾性总结分析烧伤湿性医疗技术(MEBT/MEBO)治疗手部小面积电击伤的临床疗效。方法:对20051月至200812月我科收治的28例(32只)手部小面积电击伤患者,应用MEBT/MEBO方法治疗,并进行分析。结果:28例患者全部治愈出院,创面愈合后无明显瘢痕生长或浅表性瘢痕柔软,无关节部位功能障碍等并发症。结论:MEBT/MEBO治疗手部小面积电击伤获得满意疗效,是一种理想的治疗方法。

【关键词】MEBT/MEBO;手部;电烧伤;治疗

【标识符】doi:10.3969/j.issn.1001-0726.2010.02.004

 

Clinical Observation of 28 Cases of Small Area Electrical Burns of Hands Treated with MEBT/MEBO.XU Gang,ZHOU Rong-fang.Dept.of Burn and Plastic Surgery of Subei Hospital Affiliated with Yangzhou Medical University,Yangzhou City,Jiangsu Province,225001,China.

AbstractObjective: To summarize the clinical effect of MEBT/MEBO retrospectively in treating small area electrical injury of hands.Method: During the period of 1/2005-12/2008,28 patients32 handsof small area electrical burns of hands were treated with MEBT/MEBO in our department,and retrospectively reviewing was carried out.Results: 28 cases of patients all healed.No significant scar formation or only some superficial and soft scar were observed.Moreover,no dysfunction of joints were found.Conclusion: MEBT/MEBO has obvious effects in treating small area electrical burns of hands,and it is an ideal treatment method.

Key wordsMEBT/MEBO;Hand;Electrical burns;Treatment

 

手部电烧伤是临床常见的烧伤,因其创面较深,术中较难判断其深度,且往往同时存在多个散在小面积创面等特点,临床治疗较为棘手。笔者于20051月至200812月应用MEBT/MEBO方法治疗手部小面积电烧伤创面28例(32只),均取得满意效果,现报告如下:

 

1.资料与方法

1.1.临床资料:本组病例共计28例,其中男性17例,女性11例,年龄4岁~57岁,平均25.7岁。创面面积以<3cm为入组条件:创面面积<1cm 6例,1cm2cm 17例,2cm3cm 5例。伤后8小时入院20例,8小时~3天入院8例。伤后即以MEBO外涂创面者24例,来院后改用MEBT/MEBO治疗者4例。

1.2.治疗方法:伤后8小时内入院的患者,创面经清创后,直接行MEBO换药治疗;对伤后8小时~3天入院,特别是已感染或采用其它方法处理创面的患者,直接外涂MEBO,厚度1mm2mm,并尽早地对电击伤创面进行无损伤地耕耘、减张及痂皮薄化处理。治疗期间严格按照MEBT/MEBO临床规范处理创面,每隔4小时~6小时换药1次。在处理创面的同时,进行有效地抗感染等综合治疗。

 

2.结果

  本组28例手部电击伤创面全部治愈,愈合时间最短22天,最长65天,平均39天。创面愈合后无明显瘢痕生长或浅表性瘢痕柔软,无明显关节功能障碍。(见下图)

 

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