信息编号10923601至10923650间共50条。
10923601:湿润暴露疗法治疗
眼烧伤78例临床分析
CLINICALQNALYSISOF78CASESOFOPHTHALMICBURNSTRETEDWITHMEBT王德兴(内容提要)眼烧伤在头面部烧伤占相当比重。治疗效果直接影响病人的一生。作者自1988年6月至1990年5月共收治眼烧伤78例,应用湿润暴露疗法治疗这组不同原因所致的眼烧伤,收到显著疗效。具有止痛、消除水肿快、增加眼泪的排泄、引流通畅保护了眼睛,而且缩短了治愈时间...查看详细(8119字节)
10923602:湿润烧伤膏治疗骨裸露创面的疗效观察(附8例报告)
AMEBOFORTREATINGWOUNDSWITHBONEEXPOSED陈存富张向清邓斌民刘介甫姜文答王永武(内容提要)本文报告了湿润烧伤膏治疗8例骨裸露创面的近期疗效。骨裸露面积最大者5X2.5cm,最小面积3X1.2cm。愈合时间最长者62天,最短者38天,平均愈合时间47.87+9.65天,其疗效都非常满意。湿性医疗技术治疗骨裸露烧伤有以下优点:1.不需手术凿骨...查看详细(4122字节)
10923603:湿润烧伤膏治疗深部疮疡一例观察报告
ACASEOFDEEPULCERTREATEDWITHMEBO吕学锋丁新民刘剑钢臀深部脓肿为外科常见病、多发病,行切开引流术后,多由于换药技术不当,形成经久不愈的窦道,而给病人造成很大的痛苦。自1990年3月我院引进北京光明中医烧伤创疡研究所徐荣祥教授发明的湿润烧伤膏治疗一例,效果良好。病例介绍患者段X,女,41岁,于1990年4月27日因腰骰、双臀部深部脓肿...查看详细(1437字节)
10923604:一例特重烧伤晚期应用湿润烧伤膏治疗的体会
MEBOFORTREATINGACASEOFEXCEPTIONALLYSEVEREBURNATTHELATERSTAGE单桂香肖茂俊刘振奎张明师梁兴式于永利杨启庆厉淑坤(内容提要)我科于1989年5月早期切痂微粒皮移植大张异体皮覆盖四肢焦痂创面,躯干保痂53天始用湿润暴露疗法,局部涂湿润烧伤膏,取得了出乎意料的效果。不仅避免了切痂累及胸腔的危险...查看详细(2772字节)
10923605:应用湿润烧伤膏治疗一例特大面积烧伤的救治体会
ACASEOFEXCEPTIONALLYLARGEAREABURNTREATEDWITHMEBO袁好军(内容提要)作者收治一中年女性烧伤,总面积为80%,深II度50%、浅II度30%。伤后一小时入院。合并呼吸道烧伤,入院时休克,经抗体克病程渡过平稳。因烧伤湿润青供药不足,仅于双上肢行湿性暴露疗法,余处采用SD-Ag暴露疗法。用湿润暴露疗法者为深II度,两周后创面溶解有散在上皮岛...查看详细(3509字节)
10923606:湿润暴露疗法治疗小儿烧伤72例报告
72BURNEDCHILDRENTREATEDWITHMEBT蒲志彪吴杰孝桑兆兴由于小儿解剖和生理的特点,烧伤后治疗困难较大,死亡率比成人要高。1989年6月以来,我中心收住烧伤156例,其中小儿72例,占46.15%。均用湿润暴露疗法治疗,报告如下:临床资料一、一般资料:72例中,男45例,女27例,最大12岁,年龄最小8个月,以l~3岁为最多...查看详细(3918字节)
10923607:应用湿润暴露疗法治疗中小面积烧伤125例的体会
125CASESOFMEDIUMANDSMALLAREABURNSTREATEDWITHMEBT李文来、姜荣斌、田汝春、高冬菊、王春清、马福艳、陈亚利指导杨克非我院烧伤科自1989年8月至1990年8月一年中,应用湿润暴露疗法治疗中小面积不同深度的252例烧伤,全部治愈。未见明显的瘢痕增生,功能恢复良好,已能正常工作。现随机抽取125例总结临床经验及体会如下...查看详细(7027字节)
10923608:湿润烧伤膏在门诊应用(附82例报告)
MEBOUSEDINOUTPATIENTDEPARTMENT裘小呜(内容提要)湿润烧伤疗法是治疗烧伤较为理想的方法,本文通过对门诊82例小面积烧伤治疗分析,以5例为典型,论述了湿润烧伤疗法在门诊正确的应用及其机理。认为湿润烧伤暴露疗法具有止痛、消炎、不需植皮、不受环境限制、使用方便,对广大基层、厂矿卫生单位有推广价值。烧烫伤是门诊常见的一种疾病,尤以夏天为多发。烧烫伤痛苦大...查看详细(6033字节)
10923609:“MEBO”用于烧伤创面的疗效观察
EFFICACYOFMEBOFORTREATINGBURNWOUNDS涂万模(内容提要)本文报道我科近两年来分别采用本院自制传统促痂药“儿茶酊”和徐氏MEBO外用于烧伤创面,对比分析两组的治疗效果,其P10x10cm2的感染创面或局限性深III度烧伤病灶者,则继行外科换药,待感染控制后及时植皮而促使愈合者,称为植皮痊愈。本组凡属周边或植皮性痊愈者,均留有不同程度的疤痕与畸形...查看详细(6090字节)
10923610:湿润暴露疗法治疗烧伤191例临床报告
CLINICALREPORTON191CASESOFBURNTREATEDWITHMEBO乔海滨(内容提要)本文报告我院卫生所自1988年11月至1990年6月30日收治各种原因引起烧烫伤患者191例。采用中国光明中医烧伤创疡研究所徐荣祥教授发明的湿润暴露疗法和湿润烧伤膏进行治疗。对191例烧烫伤患者全部采用这一独特疗法。经过临床实践,获得了非常显著效果。其特点是:药性稳定...查看详细(5497字节)
10923611:湿润暴露疗法治疗烧伤的体会
EXPERIENCEWITHMEBTINTREATINGBURNS郭振孙玉杰史有杰我院自1990年7月份开始应用徐荣祥教授发明的湿润暴露疗法治疗烧伤,收到神奇疗效。此法较传统方法具有方法简单、疗效高、病人痛苦小、医疗费用低等诸多优点。现将我院采用此法治愈15例烧伤患者后之作会总结如下:临床资料本组病人15例。年龄最大者64岁,最小者2岁。其中成人11例...查看详细(5275字节)
10923612:“MEBO”在灭火现场烧伤患者中的应用
THEAPPLICATIONOFMEBOINTREATINGBURNVICTIMSATTHESCENEOFTHEFIRE尤俊林(内容提要)作者1989年8月~1990年一月在灭火现场将所遇到的烧伤患者37例,采用了湿润暴露疗法,应用了湿润烧伤膏,取得了良好效果。文中提出了现场指导急救方法及步骤,以及如何涂“MEBO”的方法,并对化学烧伤、眼部烧伤应从“MEBO”的方法...查看详细(3305字节)
10923613:基层医院成批大面积烧伤的抢救体会(附“5.19”烧伤病人抢救经过)
EXPERIENCEINTREATINGGROUPSOFLARGEAREABURNPATIENTSINGRASS―ROOTSHOSPITAL蒲祖煜杨顺炳我院于1990年5月19日,对一次客车箱内火药燃爆至伤(简称“5.19"事故)31例伤员进行了早期抢救,其中有10例留院治疗至全愈出院,有12例分流其它医院治疗,有9例死亡,现就治疗经过,浅谈如下作会。一、入院时各类救护人员的组织1.组织机构的建立“5.19”事故发生后...查看详细(17162字节)
10923614:湿润暴露疗法治疗烧伤面积98%的临床体会
CLINICALEXPERIENCEOFTREATINGTHEBURNWOUNDONABURNEDPATIENTOF98%TBSAWITHMEBO龙剑红马恩庆刘发祝钟克勤谢有富(内容提要)本文报告了一例烧伤面积达98%深II度54%、III度37%的伤员,全部创面应用湿润烧伤膏及湿润暴露法治疗,获得成功的临床体会,结果表明:该疗法应用于特大面积深度烧伤的创面...查看详细(7491字节)
10923615:首届颁发中国烧伤创疡科技进步奖
CHINESEBURNS,WOUNDSANDSURFACEULCERSSCIENCEANDTECHNOLOGYPROGRESSPRIZEAWARDEDFORTHEFIRSTTIME中国烧伤创疡医学是徐荣祥教授创立的中国现代烧伤创疡治疗学,目前代表这一学术的医疗技术称为烧伤湿性医疗技术,实现这一医疗技术的具体方法之一为烧伤湿润暴露疗法及湿润烧伤膏的共同作用。该项医疗技术在国家科委、卫生部、国家中医药管理局、北京市医药卫生科技主管部门的支持关怀下于1987年正式使用于临床...查看详细(1501字节)
10923616:中国政府赴泰国烧伤医疗队救治烧伤取得成功
SUCCESSINSALVAGINGBURNVICTIMSINTHAILANDACHIEVEDBYTHEMEDICALTEAMSENTBYTHECHINESEGOVERNMENT(本刊讯)受国务院派遣中国烧伤创疡科技中心徐荣祥、李文东、应波三人组成的中国医疗队于1990年10月5日赴泰国帮助抢救烧伤病人(9月24日泰国曼谷发生的煤气爆炸烧伤者)。泰卫生部决定在卫生部直属医院助叻威提医院成立救治中心...查看详细(1908字节)
10923617:英文摘要
ChoiceofResuscitationFluidattheShockStageofBurns(Abstract)ZhangXiangqing(BurnCentreoftheJinanMunaryRegionandBurnDept,ofNo.91Hospital)ReviewingtheclinicalpracticeofthepastcenturVinretrospect.werecognizethatintravenousfluidinfusiontherapyhashelpedagreatnumberofpatientswithlargeareaburntotideoverthecriticalshockstagesmoothly.Onthebasisoftheirownclinicalexperience.differentauthorshavesuggesteddifferentresuscitationformulaswhichprovidegoodreferencefortheresuscitationofburnshock.Becauseofthevariationandlimitationofresearchmeasuresandobservationangles,differentauthors,thoughhadacommonprincipleoftreatment----maintenanceofthecirculatingbloodvolume,hadunavoidablybeenonesidedinconsideringcomplicatedsituationsSuchasburns.Therefore,cliniciansareoftendifficulttomakeuptheirmindinthechoiceoftheresuscitationfluidwhentheyarefacingasevere,complicatedcase.Inthispaper.theauthorpresentsadetaileddiscussiononthreeproblems,1.lossofbodyfluidandtheaimofresuscitation.2.infusionformulasandclinicalevaluationand3.resuscitationfluidsandhowtomakechoice.Theauthor'sdominantideaisthatweshouldnotconsiderburnshockasasinglesymptombuttakestockofallthesignsandsymptomsofthepatients.Shockresuscitationdoesnotmerelyaimatthetidingoveroftheclinicalshockstage,italsoaimsatamaximalrecoveryofthephysiologicalstatusandaminimallatentthreatoftheincidenceofcomplications.BacteriaCountinBurnWounds(Abstract)ChenXiaowu,etal.(1stAffitiatedHospital,HunanMedicalUniversity)Infectionsarelife--threateningforburnpatients.Theseventyoftheinfectionandmicroorganisminvasiondependupontheresistanceofthehost,thetoxicityandtheamountofthemicroorganism.Thispaperpresentsareviewonthemethodsfordeterminationofthecountofbacteriainburnwounds.Ahistoricalreviewincludingdifferentmethodsforbacteria'countingispresented.1.Wetswabmethod..2,directcontactmethod,3,gauzemethod.4,biopsymethodwhichin'eludestissuecultureandtissuesmearingand5,papersheetmethod.Usesofbacteriacounting;1,PredictingtheviabiIityofthegraftsonthewonnd,2.guidlugthepropermanagementofthewoundand3,monitoringanddiagnosingpyemia.Wetswabmethod,directcontactmethodandgauzemethodareusefulonlyfordeterminationofthecountofbacteriaaroundthewoundsurface.Theconntoftenfluctuatesundertheinflunceofexternalfactorsandthereforetheresultsareoftenunabletoreflectproportionallythedegreeofinfectioninthedeeptissue.Theapplicationofthesemethodshavebeenlimitedlately.Biopsymethodiswidelyapplied.Butthistechniqueisrathercomplicatedandhaslowreproducibifity.Therecenttrendistodevelopnewmethodseasytooperate,givingnodamagetothewounds,goodreproducibilityandexactlyreflectingtheamountofbacteriainthewounds.StudiesonBloodCoagulationFunctionattheEarlyStageofBurnsi.ChangesinAggregationFunctionandCountofBloodPlatelets(Abstract)ZhangXiangqing,etal.(Dept.ofBurnResearch,No.91Hospital)Determinationoftheaggregationfunctionandcountofbloodplateletsinperipheralveinsof33burnpatientsattheearlystagehadbeencarriedout,withhealthyvolunteersasthecontrol.Theresultsrevealedthatattheearlystageofsevereburn,thecountofbloodplateletsdroppedmarkedly,181.5+53.2x109/Lforthehealthycontroland120.4156.7x109/Lfortheburnpatients.Changesintheaggregationfunctionoftheplateletsalsotookplace.Theresultsfromtwogroupsofpatientswithdifferentseventyofburnsrevealedthattheaggregationfunctionofpatientswithburnindexsmallerthan40tendedtobeenhancedandtheaggregationfunctionofthosewithburnindexgreaterthan40tendedtodecline.TheauthorsanalyzedthecausesoftheabovementionedchangesandsuggestedthatconsumptivecoagulopathVisverycommoninsevereburnpatients.Patientswithburnindexgreaterthan40hadanincreasedamountoffibrindegradationproductwhichmaybeanimportantfactorresponsibleforthedeclinationoftheaggregationfunction.TheExperimentalMorphologicalStudyontheMicrocirculatoryVascularTreeofSkin(III)(Abstract)BatShuling,etal.Usingthemethodofcomparativeobservation,westudiedthedistributivecharacteristicsofthreedimensionalarchitectureofthemicrocirculatoryvesselsofskin.Wediscoveredthatallthecutaneousarteriesaredistributedinarborescenttype.Thetheoryofmicrocirculatoryvasculartreeofskinwasadvanced.Thegeneralregularityofthearborescentdistributionofthemicrocirculatoryvascufartreeofskinwasrevealedtheclinicalandtheoreticalsignificanceofthemicrocirculatoryvasculartreewassuggesfedaccordingtothemorphologicalcharacteristicsofthreedimensionalarchitectureofmicrocirculatoryvascufartreeofskin.PerioperativePeriodManagementofBurns(Abstract)QiSkunzhen,etal.(Dept.ofBurns,InternationalPeaceHospitalNamedAfterDr.NormanBctkune)Severeburnpatientsoftenneedtobeoperatedonformanytimestoensuregoodrecoveryoftheirfeatures.functionsandtoliveahappylife.Inthispaper,someimportantproblemsconcerningperioperativeperiodmanagementarediscussedforthepurposeofimprovingtheresultsoftheoperatious.A.BasicconceptofperioperativeperiodItincludespreoperative.operativeandpostoperativeperiods.B.Preoperativemanagement1.Preoperationpreparationa.Generalphysicalexamination.b.psychologicalpreparation.c,physiologicalpreparation.d.woundSurfacepreparatlon.2.immediatepreparationbeforeoperationa.Psychologicalpreparation.b.organizationofoperatingpersonnel.c,phVsiologicalpreparation,d.donorsiteandwonndpreparation.C.Managementdurihgoperation:1,Monitoringofanaesthesiaa.Monitoringofbloodpressure.pulse.respiration,etc.b.adjustmentoffluidinfusion.anaesthesiaandothermanagement,accordingtotheconditionofthepatient.c.estimateaccuratelythelossofbloodandfluid,d.ensureunobstructedrespirationandadequateoxygensupply.2.Othermanagementduringoperationa,Timelymanagementforthosewithmalfunctioningofbloodcoagulation.b.applyantibioticsforthoseseverelyinfectedorhavingaprolongeddurationofoperation,c.controlthescopeofoperation.D.Postoperativemanagementf1.Generalmanagementa,Continuouselectrocardiographicandcentralvenouspressuremonitoringandbiochemicalandbloodgasexaminationsforcriticalandseverecases.b,applicationofanalgesicsandantibiotics.c.examinationsincludingbloodroutine.bloodchemistry.bloodgasandbloodcultureontheverydayand1and2daysafteroperationforthosereceivedmajoroperations.2,Woundmanagementa.Donorsite.b.recipientsite.3.Postoperationnursinga.Careshouldbetakenforthosenotwakinguptimelyaftermajoroperationsuntiltheywakeup.,b.keepstayinginbed,c.careshouldbetakentothetightnessofthedressing.d.monitoringofurinevolume.e,nursingofspecialpartsofburnwounds,f.posture.g,postoperationdonorsitenursing,h.dietaryregimen.ClinicalAnalysisof1567CasesofBurnTreatedwithMoistExposedTherapy(Abstract)YangKefei,etal.(ChineseScienceandTechnologyCentreofBurns,WoundsandSurfaceUlcer)1567casesofburnweretreatedwithmoistexposedtherapy,duringtheperiodfromAugust1988toAugust1989,in16medicalunitsinNorth--eastChina.1499caseshealed.68casesdied(deathrate:4.34%).Amongthe108caseswithburnareaexceeding50%TBSA,69caseswerehealed(healingrate:63.89%).Sexratiofmale/female=18/1.Agerange:2monthsto87years.Thehighestincidencewaswithinintheagerangeof20to40years.438casesfellintothisagerange.27.95%ofthetotal.Burnareaf192caseswithsevereburn.burnarea31--49%TBSA.108caseswithexceptionallysevereburn,amongwhich11caseswithtotalburnareaexceeding80%TBSA.Complications:32casescomplicatedbypulmonaryedema.30casesbyauriculochondritisand25casesbyotherinjuries.Allthepatientscuredwithoutanysequelae.1423outofthe1567caseswerethermallyinjured(90.81%).Comparisonhadbeenmadebetweentheclinicalresultsofthemoistandthedrytherapies.firevealedthatthemoisttherapyhaditsadvantagesoflowerincidenceofshock.systemicinfectionandothercomplications.lowerdisablementanddeathrateandhighercurativerate.118CasesofBurnTreatedwithMEBO(Abstract)YangJianqui,etal.(Dent.ofBurns.JiansoiaoHospital.HanszhouCity)118casesofburnhadbeentreatedwitrMEBO.Averageburnarea:11.79%TBSA,largesburnareal88%TBSA.78caseswithdeep2nddegreeburns.largestarea45%TBSA.28caseswith3rddegreeburns.largestarea23%TBSA.Escharotomywasdoneattheearlystageanfollowedbygraftingwithskinoflargeormediunthickness.Forpatch3rddegreewound.stamlskingraftwasdonepostescharotomy.Theresultwereverysatisfactory.2patientsdied(1.69%)oneleftthehospitalforunkownreason.Allthlrest(115cases)healed(97.46%).Thispaperdescribesindetails.themethodsandpointsforattentioninthemanagementofthewounds,promotionofwoundhealing,lesseningofscarformation,preventionoffolliculitisaroundthewoundanddebridementofshockpatients.TheauthorsconcludethatMEBOhasmanyadvantagesovertheconventionalremedy.Itisveryefficaciousandhasanalgesiceffect.Itkeepsadequatedrainage.improveslocalmicrocirculation,preventsprogressivenecrosisofthestasiszonetissueandinhibitsfibroplasticproliferation.ExperienceinTreating82CasesofBurnwithMoistExposedTherapy(Abstract)TaoYexing,etal.(Dent.ofBurnPlasticSursery.Peoule'sHospital.XinjiangUygurAutonomousRegion)82casesofburnhadbeentreatedwithmoistexposedtherapy.Allthepatientshealed.Theauthorssuggestedthatthistherapyhelpstofindawayouttothesettlementofdifficultproblemssuchaspainsinthewounds.infections.formationofscarforseconddegreeburnwounds.preventionofprogressivenecrosisofstasiszonetissueattheearlystage.etc.Italsohastheadvantageofeasyinspectionofthewound.Itissimpletoapplyandeasytobepopularized.ExperienceinAPPncationofMoistExposedTherapyforTreatingBurns(Abstract)LiFengxiang,atal.(CangCountyHospital,HebeiProvince)Thispaperreportstheclinicalexperienceintreating30casesofburnwithmoistexposedtherapyinthepast4months.Underacircumstanceshortof'facilitiesandinstruments.wemanagedtotreatmediumandlargeareaburns.Ourpracticeprovedthatmoistexposedtherapyisveryefficaciousforpreventingandcontrollinginfections.Italleviatespains,promotestissuegrowthandwonndhealingandlessenstheformationofscar.Itisanidealtechniquesimpleandeasytobe.applied.ithasreliableefficacyandisacceptabletothepatients.ClinicalExperienceontheTreatmentoftheMoist,ExposedTherapyinBurn(Abstract)ZhangHonshuetal.(No.IBranchHospitalofQiluPetrochemicalindustryCorporation'sCentralHospital)Thispaperdescribesourexperienceofhealing24burnpatientswithMoist.ExposedBurnTherapy(MEBT)fromJunetoDecemberin1989.Ourclinicalobservationsshowedthattheresultwaspositive.TheclinicalpracticeshowsthatMEBThasadvantagessuchasf1.Stoppingpainobviously.2.Obviousanti--infectioneffect.3.Shortcourseofthetherapyforthehealingofwound:4.Beingeasytouse,simplicityforworking.needingneitherspecialmedicaldevicesnorspecialworkingconditions,andbeingconvenientforthesmall--middlesizedhespitalstousewidely.5.Withoutscarringfordeep11degreeburn.However,thetherapyhasitsdisadvantageoftakingratherlongtimetohealdeepilldegreeburn.thuslengtheningthewoundcourse.Thepapergivesthreestepsoftreatingdeepilldegreeburn.ThefirstistodissolvescarswiththeMoistBurnOintment(MEBO).Thesecondistotakeskingraftsafterfleshhasgrownup.ThethirdistouseMEBToncemoreafterthegraftedskinscometolive(3--7days);Thiswaynotonlyhelpsgraftedskinstogrowandenfarge.butalsotopreventwoundsfromscarring.thusthecourseoftreatmentisshortened.ExperiencewithMEBOinTreating29CasesofAcidandAlkaliBurns(Abstract)EongJin,etal.(Dept.ofBurns,3rdMunicipalHospital,XuzkouCity)29casesofacidandalkaliburnsweretreatedwithMEBOin1989toMay.1990.Averageaged25.4.averagearea:9.2%TBSA.Mostofthemhaddeep2nddegreeburninlowerextremities.TheauthorsanalyzedtheefficacyofMEBOandconcludedthatdeep2nddegreeburncanbehealedwithoutformationofscar.Smallarea3rddegreeburnandresidualwoundscanbehealedsatisfactorily.Thetherapyenableseasyinspectionofthewound.Ithasmarkedanalgesiceffect.Itpromotesdecrustation.neutralizestheacidandthealkali,preventsinfectionandpromoteshealingofthewounds.200CasesofCervicalErosionTreatedwithMEBO(Abstract)ZhangChengkui,etal.(HospitalforStaffandWorkers,OrgaaicChemicalPlant,JingmenCity,HubeiProvince)In1990.theauthorstreated200casesofcervicalerosionusingMEBOandscoredverysatisfactoryresults.Patientshadcourseofthediseaserangingfrom4monthsto14yearsandthetreatmentinvolvedapplicationoftheointment6timesto16times.180casescured.16patientswhodidnotabidebytheinstructionofthedoctorstrictly.didnotpayattentiontotheirmenstrualhygieneanddidnotapplytheointmentinaproperway.hadtheirsymptomsimproved.4caseswithcervicalcancerdidnotrespondtotheointment.Theauthorssuggestedthatthetreatmentshouldbecarriedoutinasterilizedway.Theointmentshouldbeapplied1to2timeseverydayoreveryotherday.Duringmenstrualperiodand4daysbeforeand4daysaftertheperiodtheapplicationoftheointmentshouldbestopped.Whentheointmentisapplied.hipbathandsexualintercourseshouldbeforbidden.TheAppncationofMoistExposedTherapyinAestheticsurgery(Abstract)QuZkenchang(AndongChineseMedicineHospital,MudanjiangCity,HeilongjiangProvince)17patientsafterfaceplaningweretreatedwithmoistexposedtherapyand5treatedwithconventionaldressingtherapy.Theauthorpointsoutthatmoistexposedtherapyhastheadvantagesofalleviationofpainsandswellings.reductionofexudates,antinfection,promotionofrecovery,eastnessinnursingandlowercost,ascorn.paredwiththeconventionaldressingtherapy.TheApplicationofMoistExposedTherapyinSkinPlaning(AReportof2Cases)(Abstract)ShangJiangji(People'sHospital,JingaingSheAutonomousCounty,ZhejiangProvince)2patientswoundedduringskinplaningintheAestheticSurgeryDept.ofourHospital,weretreatedwithMEBO.inventedbyprof.XuRongxiong.Allthepatientshealedwithoutformationofanyscar.MEBOhasbeenprovedtohavereliableanalgesicandantiinfectiveeffects.Itpromotesproliferationoftheepithelialtissue,improvesthebloodcirculationofthewoundarea,alleviatesspasmandinhibitsfibroplasticproliferation.Itgivesgoodhealingwithoutdysfunctionorscarformation.MEBOisworthytobepopularizedforuseinsestheticsurgery.RapidHeanngofinfectedwarwounds(Abstract)LiuQigul,etal.(GeneralHospital.ChengduMilitaryRegion)Since1986.theauthorstreated20caseswithatotalof100surfacewarwounds.usingaqueoushydrogenperoxideinthedebridementandcoveringthewoundswithaqueoushydrogenperoxidesoakedgauze--moistandsemi--exposedtherapy.Thehydrogenperoxidesoakedgauzewasappliedatregularintervals.Thewoundshealedin6to&days.Thistherapydidnotusesalineinthedebridementandneedednodressing.Thewoundshealedrapidlyandtheresultsweresatisfactory.MEBOforTreatingACaseofSenileDementiacompncatedbyMultipleDecubitalulcers(Abstract)ZhangChangqing(ShaowuCityHospital,FujianProvince)Aseniledementiapatient.male,68,emaciatedandexhausted,wasadmittedtoourhospitalonMarch16,1990forpneumoniaintheleftlung..Thepatienthadthreedecubitalulcers.One80mmindiameter.insacrococcygealarea.another40mm.inleftfemurareaandthethird80mm,inrightfemurarea.Ulcerationandnecrosisreachedtheperiost.Diagnosis,3rdto4thdegreedecubitalulcers.Debridementwasmadeonadmissionandvariousantibioticswereappliedfor70days.Yetulcersdidnotheal.Then.MEBOwasusedinstead.Theulcersinthesacrococcygealandleftfemurareawerehealedin45to48days.Theulcerintherightfemurareawasinfectedanddidnotheal.RepairofShankSoftTissueDefectUsingPedicleFlapandMusculocutaneousFlap(Abstract)FanWenfu(Dept.ofOrthopaedics,People'sHospital,XinyeCounty,HenanProvince)Repairofshanksofttissuedefectisataskof,wideattentioninsurgery.Inrecentyears,theapplicationofpedicleflapandmusculocutaneousflaphasbeenpopularizedandhasgivenverysatisfactoryresults.Inthispaper.theauthorgivesaconcisereviewontheadvantagesanddisadvantagesandgeneralaspectsoftheirofinicalapplications....查看详细(18774字节)
10923618:带蒂皮瓣、肌皮瓣修复小腿软组织缺损(综述)
REPAIROFSHANKSOFTTISSUEDEFECTUSINGPEDICLEFLAPANDMUSEULOCUTANEOUSFLAP樊文甫(内容摘要)小腿软组织缺损的治疗一直是修复重建外科医生所重视的问题。近年来,随着临床解剖学的进展,用带蒂皮瓣、肌皮瓣转移修复小腿软组织缺损日益增多、效果令人满意。本文就其优缺点以及临床应用概况作一简要综述以供临床参考。因创伤和慢性骨髓炎导致的小腿软组织缺损、骨质外露...查看详细(12627字节)
10923619:鼻唇沟双叶岛状皮瓣修复鼻大部缺损一例
DOUBLEISLET―SHAPEDFLAPSFROMFURROWSBETWEENTHENOSEANDMOUTHREPAIRINGAMOSTLYDESFROYEDNOSE陈存富张向清于之秋(内容摘要)本文报告用鼻唇沟双叶岛状皮瓣修复鼻大部缺损患者一例的体会,认为选用本法修复解决了衬里问题,外形好、操作简单、供瓣区能直接缝合等优点,有推广价值。病例资料:患者王蒙山...查看详细(1251字节)
10923620:颜面严重烧伤后小口畸形的治疗(附26例报告)
THETREAMENTOF26MALFORMEDFACESINFLICTEDBYSEVEREBURNS陈存富张向清姜文荃(内容摘要)本文介绍三种手术方法治疗严重烧伤后小口畸形,提出大方形口成形用以治疗严重烧伤后口周疤痕挛缩远期功能恢复理想,有推广价值。关键词:烧伤小口畸形严重烧伤后小口畸形的发病率较高,传统的治疗方法多采用“V”形切口,Y形缝合...查看详细(2795字节)
10923621:湿润烧伤膏治疗老年性
痴呆并发多处褥疮一例
MEBOFORTREATINGACASEOFSENILEDEMENTIACOMPLICATEDBYMULTIPLEDECUBITALULEER张长青(一)病历摘要男性、68岁、患老年性痴呆已8年。于1990年3月16日因左肺炎休克入院。查体:消瘦、衰竭、皮包骨,骰尾部圆形直径80mm、左股骨粗隆部直径40mm、右股骨粗隆部圆形直径80mm溃疡...查看详细(1594字节)
10923622:快速愈合战伤感染伤口
RAPIDHEALINGOFINFECTEDWARWOUNDS刘齐责麻伟青方东海熊德顺成恩荣(内容摘要)对20例战伤伤员,共100个伤口全部采用双氧水加“半暴露”疗法进行治疗,愈合疗程平均6~8天。自1986年以来,我们对20例战伤伤员共100个体表战伤感染伤口全部采用双氧水清创,双氧水长时覆浸于伤口一即双氧水湿敷加半暴露疗法进行局部换药治疗,伤口平均愈合疗程为6~8天...查看详细(6790字节)
10923623:湿润暴露疗法在皮肤磨削术中的应用(附二例报告)
THEAPPLICATIONOFMOISTEXPOSEDTHERAPYINSKINPLANING(REPORTOF2CASES)尚建基(内容摘蔡)本文通过徐荣祥教授所研制的湿润暴露疗法及“MEBO”在美容外科领域―皮肤磨削术中副损伤,相当于深II度烧伤创面的过深创疡治疗中收到了良好的效果,均无疤痕痊愈出院。临床观察表明,该法具有“止病效果好、能防治感染,促进创面血液循环...查看详细(3112字节)
10923624:湿润暴露疗法在美容外科的应用
THEAPPLICATONOFMOISTEXPOSEDTHERAPYINAESTHETICSUUGERY曲振昌(内容摘要)本文总结了22例全面部磨削术后,采用湿润暴露疗法与传统包扎疗法的临床对比观察,前者具有疼痛轻、渗出少、肿胀轻、不易感染、恢复快、术后便于护理、经济等优点。关键词:全面部磨削术包扎疗法湿润暴露疗法我院自1989年7月至1990年6月...查看详细(1999字节)
10923625:“MEBO”治疗宫颈糜烂200例报告
200CASESOFCERVICALEROSIONTREATEDWITHMEBO张成惠韩全甫指导:李文东(内容摘要)作者自1990年应用湿润烧伤膏治疗宫颈糜烂200例取得了显著的疗效。病程最长14年,最短4个月。疗程最长16次,最短6次痊愈。治愈180例,好转16例,无效一例。好转者均为患者不遵医嘱、不注意经期卫生及用药不当;无效者为
宫颈癌所致。提出了应无菌操作...查看详细(2833字节)
10923626:湿润烧伤膏治疗酸、碱灼伤29例体会
EXPERIENCEWITHMEBOINTREATING29CASESOFACIDANDALKALIBURNS孔进刘再香(内容摘要)1989年1月~1990年5月,我科应用湿润烧伤膏(简称,湿润膏)治疗酸、减灼伤力例。患者平均年龄25.4岁,平均灼伤面积9.2%,以深II度灼伤占多数,灼伤部位多为下肢。本文分析了湿润膏治疗酸、碱灼伤的疗效,认为湿润膏治疗深II度灼伤可不留疤痕...查看详细(6097字节)
10923627:湿润暴露法治疗烧伤的临床体会
CLINICALEXPERIENCEONTHETREATMENTOFTHEMOISTGEXPOSEDTHERAPYINBURN张洪聚李加坤(内容摘要)本文总结介绍了我院自1989年6月至1989年12月采用湿润暴露法治疗烧伤患者24例,经临床观察疗效显著。该疗法有以下优点:1.有明显的止病效果;2.抗感染作用显著;3.创面愈合时间短;4.使用方便、操作简单,不需特殊设备和条件...查看详细(3875字节)
10923628:应用湿润暴露疗法治疗烧伤的体会
EXPERINECEINAPPLICATIONOFMOISTEXPOSEDTHERAPYFORTREATING李凤翔提泽云(内容摘要)本文报导了学习并应用湿润暴露疗法这一新技术四个月治疗30例烧伤的临床实践和体会,其中在条件、设备不足情况下于救治中、大面积烧伤方面有了初步尝试。实践证明,湿润暴露疗法在预防和控制创面感染、止痛、促进组织生长和创面修复以及减少瘢痕形成方面有突出作用...查看详细(6034字节)
10923629:湿润暴露疗法治疗烧伤82例体会
EXPERIENCEINTREATING82CASESOFBURNWITHMOISTEXPOSEDTHERAPY陶冶性工共礼(内容摘要)本文报道了采用湿润疗法治疗各种烧伤82例,全部治愈。实践观察表明:该疗法很好地解决了“创面疼痛、感染、深II度愈合后不留疤痕和早期可阻止烧伤淤滞带组织进行性坏死等烧伤存在的几大技术难题。”且便于观察创面,减少病人痛苦,使用方便...查看详细(4095字节)
10923630:湿润烧伤膏治疗118例烧伤临床报告
118CASESOFBURNTREATEDWITHMEBO杨建秋季怀清熊学曾郑国平谢若华金信良郑杰付智慧(内容摘要)本文报告了应用湿润烧伤膏治疗118例烧伤。全组最大年龄68岁,最小8个月;最大烧伤面积88%、平均面积11.79%;深II度烧伤78例。最大面积45%,平均7.75%;III度烧伤28例,最大面积23%,平均5.19%。对功能部位的III度烧伤采用早期切痂大张中厚自体皮覆盖...查看详细(10221字节)
10923631:1567例烧伤病人应用湿润暴露疗法救治的临床概况分析
CLINICALANALYSISOF1567CASESOFBURNTREATEDWITHMOISTEXPOSEDTHERAPY杨克非杨军郭正春(内容摘要):自1988年8月一1989年8月、我们收集了东北地区的16个医疗单位采用湿性疗法治疗烧伤病人1567例,其中治愈1499例、死亡68例、死亡率为4.34%;烧伤总面积超过50%者108例、治愈69例、治疗率为63.89%...查看详细(10976字节)
10923632:烧伤病人的围手术期处理
PERIOPERATIVEPERIODMANAGEMENTOFBURNS齐顺贞乔风民围手术期处理(Perioperatlvecare)这一名词最早出现在1981年26版Dorland医学词典上,近年来这一概念越来越引起国内外外科医师们的重视。将这一概念引火烧伤病人的治疗实属必要,因大部严重烧伤病人需要多次手术治疗,若处理不当,有碍病人容貌,影响功能及生活。其重要性还在于:对烧伤病人的手术治疗...查看详细(7346字节)
10923633:皮肤微循环血管树的实验形态学研究(三)
THEEXPERIMENTALMORPHOLOGICALSTUDYONTHEMICROCIRCULATORYVASCULARTREEOFSKIN(III)柏树令李吉(内容摘要)本文应用光镜与扫描电镜对比观察的方法,研究了皮肤微循环血管三维构筑的分布特点。发现了皮肤微循环血管里树枝状分布的特征;提出了皮肤微循环血管树理论,揭示了皮肤微循环血管树分支分布的普遍规律性...查看详细(7076字节)
10923634:烧伤早期血液凝固机能研究之一----烧伤早期血小板计数与聚集性变化
STUDIESONBLOODCOAGULATIONFUNCTIONATTHEEARLYSTAGEOFBURNSI.CHANGESINAGGREGATIONFUNCTIONANDCOUNTOFBLOODPLATELETS张向清王永武(编者按)严重烧伤早期,无论烧伤区域还是非烧伤部位以及各器官的微循环功能都会发生明显变化。这种变化的主要危害,不仅能使烧伤病变加深加重...查看详细(7258字节)
10923635:烧伤创面的细菌计数(综述)
BACTERIACOUNTINBURNWOUNDS研究生:陈照式导师:马恩庆(内容摘要)本文就测量烧伤创面的细菌计数作一综述,介绍了各种测定细菌数量的方法:一、湿性拭子法;二、直接接触法;三、纱布法;四、活检组织法;五、吸纸片法。并指出为了使烧伤创面细菌计数更为准确以及解决有关问题成为国内外学者广泛重视的主要问题。因此,准确地反映烧伤创面组织中的细菌含量、操作简单、无创...查看详细(11758字节)
10923636:烧伤休克期复苏液体的临床选择
CHOICEOFRESUSCITATIONFLUIDATTHESHOCKSTAGEOFBURNS张向清(内容摘要)回顾近百年来的临床实践,静脉补液疗法确使不少大面积烧伤病人平稳度过了休克难关,并有不少作者根据自己的临床经验总结出了各种类型的输液公式,为烧伤休克的临床复苏提供了参考依据。然而,由于各种公式的观察角度不同,或研究条件所限,使各种公式在具备了补充循环血容量这一共同治则前题下...查看详细(19883字节)
10923637:庆祝中国烧伤创疡科技中心成立两周年
两年前,为了贯彻落实国家科技政策,开展烧伤创疡科学研究、科技医疗、科技开发,北京光明中医烧伤创疡研究所捐资成立了“中国烧伤创疡科技中心”,义务为全国烧伤患者服务,成功地将我国独创的烧伤湿性医疗技术普及全中国,推广到世界,为医药卫生科技的发展闯出了一条新路。中国烧伤湿性医疗技术是徐荣祥教授创立的,它依祖国医学的理、法、方、药辩证规律,建立了以“整体与个体论”为医学哲学思想;具体与实践统一论为辩证法则;“自然状态与功能论”为治疗学基础;“平衡医疗论”为系统医疗学的四位一体的中国现代烧伤医疗体系...查看详细(7556字节)
10923638:英文摘要
StudiesonBloodCoagulationFunctionattheEarlyStageofBurnsII.BloodPlateletAggregationFunctionandinVitroThrombusWeightandtheCorrelationBetweentheTwoParamaters(Abstract)ZhangXiangqing,etal.(No.91Hospital)Bloodplateletaggregationfunctionandinvitrothrombusweightofscaldedrabbitshadbeendetermined.Theresultsrevealedthatrabbitswithseconddegreeburnscovering20%TBSAhadhypercoagulabilityin24hoursafterinjury.Bloodpjateletaggregationratewasincreasedascomparedwiththedatafrombeforeinjuryandwiththecontrolanimals.Thedryweightofthrombuswasalsoincreased.Tookbloodplateletaggregationrateofscaldedrabbitsasanindependentvariableandthedryweightofthrombuswasadependentvariable.Theauthorsfoundthatwhentheanimatswereinaphysiologicalstate,priortobeinginjured,thetwoparametershadmarkedfypositivecorrelation(r=0.682,P<0.01).linearregressionequationy=1.971x37.80andwhenafterbeinginjured.thecorrelationcoefficientr=0.378(P<0.01),linearregressionequationy=0.4496x+19.17.Thisresultshowedthatthrombosiswasacceleratedastheplateletaggregationrateincreased.DisseminatedintravascularCoagulation(AReview)(Abstract)ZhsngLinxiang(ChinaScienceandTechnologyCeaseofBurns,WoundsandSurfaceUlcers)DisseminaiedIntravascularCoagulation(DIC)isaseriousdisease.Visceralfailureswithuncontrollablehemorrhageandcellnecrosisarethemajorsymptoms.Thediseasehasamortalityof58to81%thoughitscurativeratehasbeenraisedrecently.Thisreviewgivesadiscussiononthebasicknowledge.physiopathologydiagnosisandtreatmentofDIC.A.EtjologyandPathogenesis:1.Etiologyta,angioendothetialinjury.b,coagulantsenteringtheblood..whichinclude(1)tissuecoagulationfactor,(2)massivedestructionoferythrocytesandplatelets,(3)otherthromboplasticsubstances.2.ThromboplasticFactorsta,reticuloendothelialsystemdysfunction.b.hypercoagulability.c,decreaseinfibrinolysinconcentration,d.bloodstasis,e,acidosis.3.Factorsaffectingthe.seventyofDICfa,inducingfactor,b,amountandvelocityofthethromboplasticsubstanceswhichentertheblood,c,originalconcentrationofcoagulantsintheblood.d.otherfactorssuchasthefunctionofthereticuloendothelialsVstem,vascularbedandhemodynamics.etc.4.Pathogenesisfwhichincludesthecoursesofbloodcoagulationandfibrinolysis.a,bloodcoagulation,(1)externalandinternalthromboplastingeneration,(2)thrombinogenesis.(3)fibrination.b,fibrinolysis(1)generationofkinase.(2)generationoffibrinolysin,(3)fibrinogendegradationproductsandfibrindegradationproducts..B.ClimcalManifestations:1.Acute,2.subacuteand3.chronictypes.SymptomsandsignsofDICa,embolism,b.spontaneoushemorrhage.c,shockandd,hemolysis.C.CausesofDisease:1.Transfusionreaction,2.massivetransfusionofobsoleteblood,3.infection.4.fatembolism,5.crushsyndromeandseverelargeareaburn,6.obstetricalseverecomplications,whichincludea,prematureseparationofplacenta.b,amnioticembolism,c.retentionofdeadfetus.d.inductionoflaborbyhypertonicsaline.e,toxemiaofpregnancy.7.podiatricdiseases,whichincludea.diseasesofnew--born,b.purpurafulminans.c.infantilehemolysis/uremicsyndrome.8.malignanttumor,9.hepatopathy.10.massivetissueinjuryandbraintissue'destruction,11.otherdiseases.D.Diagnosis:Mainlyonthebasisofclinicalmanifestationsandlaboratoryexaminations.Earlyobservationandexaminationareurged.1.clinicalmanifestationsa,bloodcoagulatesinsyringeasitisdrawnfromthevein,b,suddenoccurrenceofmultipleembolismorhemorrhage.c,bleedingdifficulttostoportheclotisveryloose.d.shocknotrecoversaftertreatmentandturnsintorefractoryshock,e.'occurrenceofARDS,ARForacuteadrenocorticalfailurewithexctUsionofotherdiseases.f.hemorrhageofunknowncauseorworseningofthecaseofanemiawithfragmentsofredcellintheblood.2.LaboratoryExaminationsa,screeningtest.b,fibrinolyticfunctiontestandothertestsifpossible.E.Treatment:Treatmentoftheprimarydiseaseisveryimportant.Treatmentatdifferentstages:1.Atthehypercoagulabilitystage,anticoagulantsandantiplateletsareapplied,a.heparin,b,lowmolecularweightdextran.c.persantinandaspirin,d,scopolamineande.coumarinforchronicDIC.2.Consumptivehypocoagulabilitystagea,heparinandb.persantin.aspirin,dextranandscopolamine,c.bloodcoagulationfactorssuchasfreshblood.freshcryodessicatedplasma,bloodplateletconcentrate,fibrinogenandotherfactorse.g.FactorII.V,andX,d.fibrinolyticagentsSuchasstreptokinase,e.tissuetypeplasminogenactivator.3.secondaryfibrinolyticstage.mainlyatthelatestageofDIC.a.thetreatingschemeisthesameasforconsumptivehypocoagubilitystage.b.antifibrinolysin.c,heparin.6-aminQhexanoicacid.p--aminomethyl--benzoicacid,transamicacidandtrasylol.4.Fibrindegradationproductanticoagulationstage,Fociandcausesofthediseaseareremovedusingheparintherapy,antifibrinolysintherapy.bloodcoagulatingfactortherapyandprotamineifnecessary.ASurveyofBloodTypeandPsychologicalCharacteristicsofBurnPatients(Abstract)ChenCunfu.etal.(No.91Hospital)Thispaperdescribestheinterreletionshipbetweenbloodtype,psychologicalcharacteristicsandtheincidenceofburninjury.accordingtoasurveyor1100cases.Thenormalproportionofthedistributionofbloodtypesinhealthypeopleisalsoreported.TheproportionsofBtypebloodinhealthypeopleandinburnpatientsdiffergreatly.TheincidenceofburninjuryismuchhigherinpeoplewithBtypeblood.Factorsconcerningthegreaterpossibilityofbeingburntwerediscussed.124CasesofBurnTreatedwithMoistExposedTherapy(Abstract)ZhaoRulqing,etal.(The2ndPeople'sHospital,Taiyuan)124casesofburn,amongwhich&caseswithexceptionallylarge,29caseswithlargeand87caseswithmediumareaburn,weretreatedwithmoistexposedtherapy.Thetherapyhasitsadvantagesofhavinggoodanalgesicandstrongantiinfectiveeffectsandlowincidenceofcomplications.Itneedsonlyasmallamountoftransfusionfluidandpromotestherecoveryofthestasiszonetissue.Whenliquefactionisalmostcomplete,MEBOcanbeappliedincompanywithnon--adhesivemedicalgauzetoalleviatepainsduringthesmearingoftheointmentandtofacilitatehealingofthewounds.115CasesofBurnTreatedwithMoistExposedTherapy(Abstract)WangZhiping,etal.(No242Hospital,PLA)115casesofburn.amongwhich60caseswithsevereandmoderateburns.hadbeentreatedwithmoistexposedtherapy.Allthepatientshealed.Nosepticemiaoccurred.Noskin.graftingNeeded.Nofunctionaldisturbanceandnoscarformationoccursed,exceptforfull--thicknessburnwounds.Theresultsprovedthatthistherapyissimpleandeasytoapply.Ithasanalgesicandantiinfectiveeffects.Itpromoteshealingandprotectsthefunctioningofthewounds.Itisnotexpensiveandiseasytobepopularized.ClinicalExperiencewithMEBOinTreatingFaceBurns(Abstract)RenBaifang(No.405HospitalPenglaiCity,SbandongProvince)Faceistheexposedareaofthebodysurface.Faceburnsoccurfrequentlyandoftenresultinscarformationordemormity,whentreatedwithconventionaltherapyTheauthortreated32casesoffaceburnus-'lugmoistexposedtherapy.Allthepatientshealed.Theskingrowthanditsappearancewereverysatisfactory.MoistexposedtherapVhadanalgesiceffect.Itpreventsinfectionofthewounds.Therewasnoscarfordeepseconddegreeburn.Theljquefactionwascompletedin12to16days.Allthepatientshealedwithnormalfacialappearancewithoutscarformation.AChildwithExceptionallyLargeAreaBurncompncatedbySepticemiaCuredbyMEBO(Abstract)WangPeisheng,etal.(ChinaBarns,WoundsandSauceUlcers,NanyangScienceandTechnologyMedicalCenter)Thispaperdescribesindetailsthecourseofthetreatmentofachildwith92%TBSAburn(over80%fulf--thicknessburn)andcompticatedbysepticemia,usingmoistexposedtherapyandthedrugMEBO.Thechildhealed.Detaifedprocedure)fofbandagingwithMEBOandrelatedprobfemswerediscussed.TheauthorssuggestthatthemyfeetedwoundshoufdbethoroughlydebriededbeeforebandagingwithMEBOandsystemictreatementisofcrucialimportancetothepatient.AnAnalysisof25CasesofCranialElectricBurn(Abstract)JiangTingyin,etal.25casesofcraniafetectricburnweretreatedfromMarch.1963toMay,1989.infourunitsofShandongProvince,ofwhich23weremalesand2females.withandaverageageof18.Mostofthemwereyoungpeopleorchildren.Theburninvolvedtheforehead(2cases).thetop(15cases).thetempore--pentaljune.ture(5cases)andoccipito--pentaljuncture(1case).Therewere3casesofnecroticextremities.1caseofenteroceleduetonecrosisofailtheabdominalwails,1caseofvescical--abdominatfistulaand8casesofmultiplelesions.Becauseofthefeaturesoftheanatomicalstructureofthescalp,mostcramalelectricburnsledtototalnecrosisofthescalp.thedefluxionofwhichmadethecranialonguncovered.thusseriousintracranialcomplicationsoftenoccurred.Thegraftedskiniseasytosurviveaftertheformationofgranulationsbydrillingthedrycrania.Thenecroticcraniaoftotallaminaemustbedrilledthrough.leavingaspaceof1.0to1.5cmbetweeneachtwoopenings.Thenecroticcraniasoonseparatefromthefundusandareeasilyremoved.Simplenecroticexternalslabsarealsoeasilydetatchedfromthesofttissueandtheskin--graftingcanbedonesoonafterthegranulationsarenonedtogethertohealthewounds.Thisisagoodmethodfortreatingcramalelectricburn.Forpost--cramalelectricburn,theapproximalskinflapcanbeusedtoclosethewounds.AnAnalysisof15CasesofPhosphorusBurn(Abstract)SongXianchun,etal.(Dept.ofSurged,No.59Hospital,PLA)15casesofphosphorusburn,amongwhich4caseswithtabeddegreeburns,thelargestburnarea23%TBSA,weretreated.Clinicalmanifestations:Attheearlystage,smokerosefromthewoundwithgarlic--likeodour.Therewereburnholesinthewound.ErythrocyticProteintria,jaundice,lunginjuryofmentalsymptomsoccurredinsomeseverecases.Earlytreatheat:Waddedwithwaterand1%slivernitratesolutionwasapplied.Thoroughremovaloftheresidualphosphorusshoedbeensured.Ifnecessary,Phosphorusmanaclesshouldbepickedoutindarkroom.Earlyescharotomyandskingraftareadvisable.Greatattentionshouldbepaidtocomplicationsifencountered.Allthepatientshealedwithanaveragehospitalstayof23days.EfficacyAnalysisoftheTreatmentofChemicalBurns(Abstract)ChenCunfu,etal.(No.91Hospital)This.paperreportstheclinicalexperienceintreating26casesofchemicalburnwithMEBO.Theauthorssuggestedthatsuperficialchemicalburnscanbehealedbyvariousconservativetherapies.PainintheburnareaisthemajorabnormalityandcanbealleviatedorstoppedbyusingMEBO.Deepseconddegreechemicalburnofthefingeranddorsumofthehand,etc.arethebestindicationsofMEBO.MEBOworksinthewoundareaforming"anautomaticassembfyline"tokeepadequatedrainageofnecrotictissue.Itpreventssecondaryinjuryoftheburnttissueandthusresultsingoodhealing.Thetreatmentofdeepthirddegreechemicalburnremainstobefurtherinvestigated.2CasesofRefractoryUlcerHealedbyTreatingwithMoistExposedTherapy(Abstract)HuiLei,etal.(HospitalforStaffandWorkers,KaifengKongfenEquipmentFactory)2casesofrefractoryulcercuredbytreatingwithegoistexposedtherapy.Theulcerareaswere4x5cm2and11x14cm2.AftertreatedwithMEBO.theulcershealedin90and170daysrespectively.cnnicalExperienceinTreatingskinulcerswithMoistExposedTherapy(AReportof4Cases)(A6stract)ChenYinZhong(People'sHospitsl,YunckengPrefectal,SbauxiProvince)4casesofskinulcer,oneburntandcompficatedbycrushinjury,onewithwoundskickedbyanimal.onewithwoundsduetoradicaloperationofbreastcancerandonewithlegnicerduetovarixoflowerlimb.Thewoundsdidnothealfor50.37and18daysand7monthsrespectively.AfteradmittedtohospitalandtreatedwithMEBO.thewoundsheajedin27,19,23and29daysrespectively.Thetherapyhasitsadvantagesofhavingantiinfectiveeffect,promotingdrainageandbloodcirculationandthusfacilitatesthehealingofthewounds.Thepatientscanbetreatedathomeaswellasinhospital.50CasesofLocalUlcerTreatedwithMEBO(Abstract)GuoQuail(TownHospital,RuZhouCity,HenanProvince)AccordingtothetheoryadvancedbyProf.XuRongxiangthatburnwoundisacombinationofallkindsoftraumaandsurfaceulcer...,weattemptedtoappfythemoistexposedtherapytopatientswithsurfaceulcers.50patientswerecured."Theefficacywasveryamazing.Theauthorconcludedthatthemoistexposedtherapyhasthreeadvantages.namely,itiscapableofpromotingthehealingofthewound.itisantiinfectiveandithasmarkedanalgesiceffect.TheauthorhighlyappraisedthedrugMEBOtobethemosteffectivedrugfortreatingsurfaceulcersatpresent.ACaseofLargeDecubitalUlcerHealedbyMEBO(Abstract)PanFuwen(Dept.ofSurgery,People'sHospital,HaikouCity)Yexx,male75.wasadmittedtothehospitalonMarch31.1990.Fractureoftheneckoffemuroccurredamonthbeforehospitalization.Thepatientwasunabletoturnoverinbedandresultedinsacrococcygealdecubitalulcer.TheulcerhadbeentreatedwithChineseherbs.Itdidnothealandwasinfected.Theulcerwasirregular,deepandwide.withhollowcenter.Sacralpreiostwasexposed.Theexposedareawaslikethesizeofa5centcoin,thelongest31cmandthewidest22cm.Theulcerwasfullofpuswithill--smelling.Thegranulationswerenotfresh.Debriedementwasperformed3daysafterwashingawaythenecrotictissueandsystemictreatmentwithantibioticswasfollowed.TheapplicationofMEBOcommencedaweekafterdebriedement.Theulcerhealedin12weeks.Noscarformedandnoskingraftingneeded.EfficacyAnalysisofMEBOforTreatingHerbesZoster(Aheact)TanYi,etal.(Dept.ofsurgery,AffinatedHospital,schoolofHygenicscience,wancounty,sichuanProvince)5casesofherpeszosterweretreatedwithMEBO.Theresultswereverysatisfactory.Theointmenthasgoodanalgesicandantiviruseffects.Itpromotesthehealingofthewounds.ThecomparisonbetweentheresultsofMEBOandtheresultofonecasetreatedwithcalamineprovesthatMEBOissuperiortocalamine.ACaseofRefractoryFaceTuberculodermaCuredbyMoistExposedTherapy(abstract)LiShuwen,atal.(HospitalforStaffandWorkers,CkangckunOpticalinstrumentResearchInstitute,ChineseAcademyofScience)Thispaperreportsacaseofrefractoryfacetuberculoderma(morethan10years)Curedbymoistexposedtherapy.Theskinofthefaceafterrecoveryisintactandthescarissoftened,leavingveryslightpigmentation.Clinicalpracticeprovedthatmoistexposedtherapyisnotonlyeffectivefortreatingburnwounds,butalsoveryefficaciuosforchronicrefractorydermatosis.MEBOUsedforTreatingPadiatricDrugDermatitis(AReportof2CasesofPurpuraFormDermatonecrosis)(Abstract)ZhouRongfang,atal.(Dept.ofBurlls,AmeatedNorthJiangsuPeople'8Hospital,YangzhouMedicalCollege)Padiatricdrugdermatitis--purpuraformdermatonecrosisisrareicclinic.Wetreated2casesusingMEBOin1990.MEBOisaseffectivefortreatingskinnecrosisasitisfortreatingburnwoundsandulcers.MEBOhelpstokeepadequatedrainage.alleviateimflammatoryreaction,increaselocalbloodflowandimprovemicrocirculationwithouttoxicsideeffect.Itisveryefficacious.Onepatienthealedin14daysandtheother10days.ApplicationofMEBOtoskinGraftedwounds(Abstract)WangJunxing(No.257Hospital,PLA)10patientswithdeepseconddegreeandthirddegreeburns.burnedarea5to23%TBSA.weretreated.Escharotomywasperformedonthefifthdayafterburnandfollowedbyskingraft.Afteroperation.theWoundswerebandagedwithsteriledressingfor48hours.ThenthedressingwasremovedandMEBOwasapplied3to4timeseveryday.Thespacebetweenflapshealedquickly.Thetissuescarreactionwasmarkedlylightened.Thehealingperiodhadbeenshortenedby7to10daysascomparedwiththeconventionaltherapy.ObservationonSkinAppendagesofFull--ThicknessBurnWoundsattheRepairstageandtheAPPncationof10%SulfurOintment(Abstract)CulGuanghuai(Dept.ofBurns,AffinatedHospital,BinzhouMedicalcollege)180casesoffull--thicknessburnweretreatedwithmoistexposedtherapy.Secretionaccumulationwithsmallherpetiformchangesinthewoundshadbeenobservedin12cases.Mostofthemoccurredinhead.neckandfourlimbs.Pathologicalexaminationsprovedthatthechangesoccurredintheepithelialtissuewithhyperkeratostsandkeratinpearl.Theexistenceofglandbodieshadbeenproved.Theauthorsuggestedthatwhenaccumulationofglandbodiesappears,itindicatesthecompleterepairofthetissue.Fordeepseconddegreeandsuperficialthirddegreeburns,ifskingraftingisperformedtooearlytoclosethewound.itwillresultingreaterpainstothepatients.Theauthoralsosuggestedthattheaccumulationofglandbodiesisduetoovergrowthoftheepidermiswhichcoversthesebumandthesweatglangcellandhindersthedrainageofglandexcretion.andisalsoduetoimpropertreatmentofthewounds,etc.Theauthorapplied10%sulfurointmentandsesameoilalternativelyonthewounds.Theaccumufationofsecretiondisappearedin1to2daysandthewonndswellhealed.LateralMyocutaneousFlapofTrapeziusMuscle(Abstract)FangDoughal,etal.(KunmingGeneralHospital,ChengduMilitaryRegion)Yuanlin,etal.(DepartmentofAnatomy,TheFactMilitaryMedicalUniversity)Since1985.Weusedtranspositionoflateralmyocutaneousflapoftrapeziusmusclewithvascularormuscularpedicles,onthebasisofanatomicalstudy,fortreating8caseswithseverecicatricalcontractureinneckafterburninjury,withsatisfactoryresults.Theanatomy.clinicalcases,operativedesignsandproceduresareintroduced,andtheoperativemethodsandclinicalapplicationsarediscussed.(keywords)myocutaneousflap.trapeziusmuscle.transposition.ClinicalApplicationofDorsalAntebrachialPosteriorinterosseusArteryRetrogradeIslandFlap(Abstract)SongJisueSongJisue(CentralHospital,SipingCity,JabingProvince)Thispaperreportstheapplicationofdorsalantebrachialposteriorinterosseusarteryretrogradeislandflap.Theflapcontainsconstantamountoftubesandisrichincutaneousbranches.ithaslargesurface,goodbloodflow,appropriatethicknessandgoodquality.Itscoforisverysimiliartothecoforofthehandskin.Theoperationisverysimplewithhighrateofsuccess.Itneedsnosacrificeofmajorarteryintheforearm.Thisoperationisidealforsurgicalpurposes.RepairofHandContractureDeformityAfterFun--ThicknessBurn(AReportof116Cases)(Abstract)ChenCunfu,etal.(NO.91Hospital)116casesofhandcontracturedeformity.involving213fingers.afterfull-thicknessburnwererepairedusingfivedifferentmethods.Forohildren,lateraldigitalflaptranspositionrepairgaveverysatisfactoryresultswithgoodrestorationofthefunction.Therecurrentcontracturewasmarkedlylightenedandrepeatedoperationavoided.AProtsctorforUseinMoistExposedTherapy(Abstract)GuoWenping,etal.(Dept.ofBurns,FirstAmeatedHospital,XinjiangMedicalCollege)Moistexposedtherapyhasverygoodefficacy,buttheointmentusedinthetherapybedlystainsthebeddings.Theauthorsinventedanewprotector.Itisportableandtransparentwithgoodventilation.Itcanbeusedtoprotectthebeddingsfrombeingstained.Itdoesnothindertheactivityofthejoints.Itisveryeasytobeputonandtakenoff.Thesmearingoftheointment,thewashingandthedisinfectionofthewoundscanbeperformedwiththeprotectoron....查看详细(22152字节)
10923639:肛门旁多乳房症一例报告
ACASEREPORTOFMULTIPLEBREASTSGROWNONTHESIDEOFTHEANUS刘学勤尹中长周从田我院于1990年3月15回收治一例男性4个月婴儿,因生后发现肛旁一肿物随生长而增大,且增长较快,影响排便而来就诊。患儿无特殊家族史,父母同龄23岁,非近新结婚。体格检查:一般情况佳,营养中等,发育良好,体温36.8℃,脉搏130次/分...查看详细(1724字节)
10923640:介绍一种“湿润暴露疗法”护具
APROTECTORFORUSEINMOISTEXPOSEDTHERAPY郭文平冯德华(内容摘要)“湿润暴露疗法”(简称MEBT)疗效肯定,但最大的缺点是该疗法使用的湿润烧伤膏(简称MEBO)对被褥的污染严重。作者根据新疗法的要求发明了一种护具。该护具透明、轻便、通风好,不影响关节的活动,不污染被褥,装卸简单,涂药方便,便于清洗和消毒。湿润暴露疗法是我国徐荣祥教授根据祖国医学“创伤的修复需要一个有津液的环境”的理论创立的一种治疗烧伤的新疗法...查看详细(3290字节)
10923641:手深度烧伤后挛缩畸形的整复治疗(附116例报告)
REPAIROFHANDCONTRACTUREDEFORMITYAFTERFULLTHICKNESSBURN(AREPORTOF116CASES)陈存富张向清邓斌民刘介甫姜文荃王永武(内容摘要)采用5种方法整复手深度烧伤后挛缩畸形116例,213指。对小儿患者,采用指侧皮瓣转移修复,效果比较理想,功能恢复好,再度挛缩轻,不需二次手术。关键词:手烧伤孪缩畸形在日常生活或劳动工作时...查看详细(2809字节)
10923642:用牛鼻中隔软骨修复耳缺损畸形(附4例报告)
REPAIROFADEFORMEDEARWITHCARTILAGOSEPTINASIOFTHENOSEOFANOX陈存富张向清(内容摘要)报告4例(6只耳)烧伤及先天性小耳畸形病人、选用牛鼻中隔软骨作支架,修复后长达四年的随访,未见吸收排斥、外耳生长形态正常。认为材料来源广泛、处理简单、使用方便、易于塑型、能长斯贮存。选用牛鼻中隔软骨经处理后作支撑材料...查看详细(1193字节)
10923643:骨间后动脉前臂背侧逆行岛状皮瓣的临床应用
CLINICALAPPLICATIONOFDORSALANTEBRACHIALPOSTERIORINTEROSSEUSARTERYTETROGRADEISLANDFLAP宋基学[内容摘要]本文报道了7例骨间后动脉前臂背逆行岛状皮瓣的临床应用,证明该皮瓣血管恒定,皮支丰富,血运好,面积大,移动性好,皮瓣质地好厚薄适中,修复手部肤色基本相同。本法操作简便,成功率高,又不牺牲前臂的主要动脉...查看详细(4273字节)
10923644:外侧斜方肌皮瓣
LATERALMYOCUTANEOUSFLAPOFTRAPEZIUSMUSCLE方东海李主一李其训郭远发朱灿原林钟世镇(内容摘要)1985年以来,我们在斜方肌解剖研究基础上,利用带血管蒂或肌肉蒂的外侧岛状斜方肌肌皮瓣移位,修复8例烧伤后重度颈部疤痕挛缩,获得满意效果。本文介绍了应用解剖学,临床病例,手术设计和步骤,并讨论了几种斜方肌肌皮瓣的术式...查看详细(5441字节)
10923645:对修复期深度烧伤创面皮肤附件的观察及10%硫磺软膏的应用
OBSERVATIONONSKINAPPENDAGESOFFULLTHICKNESSBURNWOUNDATTHEREPAIRSTAGEANDTHEAPPLICATIONOF10%SULFUROINTMENT崔光怀我们采用湿润暴露疗法治疗烧伤时,重点及180例深度烧伤创面的修复进行了观察,发现其中12例患者修复期在创面上有腺体分泌物积聚现象。针对这种现象...查看详细(3732字节)
10923646:湿润烧伤膏在植皮创面的应用
APPLICATIONOFMEBOTOSKINGRAFTEDWOUNDS王俊兴〔内容摘要〕作者收治5~23%烧伤1O例,均为深II度及III度创面。于伤后5天来采取面削痂,刃厚小皮对植皮,术后无菌敷料包扎48小时,然后拆除敷料,涂湿润烧伤膏采取湿润暴露疗法,每日涂药1~4次,涂药后皮片与皮片间很快愈合。明显减轻组织疤痕反应。较常规方法植皮提早愈合7-10天。烧伤是一种平时战时常见的外伤...查看详细(1849字节)
10923647:湿润烧伤膏治愈儿童药物性皮炎---紫癜型皮肤坏死二例报告
MEBOUSEDFORTREATINGPADIATRICDRUGDERMATITIS(REPORTOF2CASESOFPURPURAFROMDERMATONECROSIS)周荣芳马莉刘森黄金华李平松刘亦峰(内容摘票)儿童药物性皮炎――紫癜型皮肤坏死临床较为少见。1990年作者先后收治二例此类病人,均采用烧伤湿润膏治愈...查看详细(3436字节)
10923648:湿润暴露疗法治愈面部顽固性皮肤结核一例
ACASEOFREFRACTORYFACETUBERCULODERMACUREDBYMEBO李淑文李家骥张艳清(内容摘要)本文较详细地报导了采用湿润暴露疗法治愈面部10余年,顽固性皮肤结核一例。愈后面部皮肤完整,原来的疤痕也变软,仅有轻度色素改变。临床实践证明、该疗法不仅用于烧伤创疡、同样也对慢性顽固性皮肤病都肝肾的疗效。病例介绍患者孟XX...查看详细(3748字节)
10923649:湿润烧伤膏治疗带状疤疹疗效观察
EFFICACYANALYSISOFMEBOFORTREATINGHERPESZOSTER谭毅彭善龙(内容摘要)作者应用湿润烧伤膏治疗5例带状疤疹取得良好效果,观察中发现止病效果好、有抗病毒作用、有促进创面愈合作用。作者在一例病人用炉甘石洗剂进行对比,前者效果明显优于后者。带状疤疹是常见的急
性病毒性皮肤病。其特点是集簇性水泡沿神经分布,排列成带状,水泡破裂形成糜烂...查看详细(2031字节)
10923650:湿润烧伤膏治愈巨大褥疮一例临床过程观察
ACASEOFLARGEDECUBITALULCERHEALEDBYMEBO潘富文病例报告患者:叶高和、男性、75岁。住院号901461,于1990年3月对日入院。入院前1个月,患者因跌倒致左
股骨颈骨折,未去医院治疗,在家里长时间卧床,很少翻身,既尾部发生褥疮,后用草药外敷并发感染,褥疮扩大,最终形成巨大创疡。入院时查体:患者精神疲倦,形体消瘦、既尾部见一个巨大创疡...查看详细(2492字节)