目录

Burn and Fever

(Abstract)

Zhang Xiangqing, et al

(No. 139 Hospital, Jinan Military Region, North Shang Burn Center)

186 cases of acute burn treated in this hospital had fever. Among them, 37 cases were treated with MEBO. Apart from the disturbance of thermotatic function, the main causes of fever are the action of some transmitters and immune factors.Whether MEBO contains any pyrogenic factor is a problem to be fUrther investigated.

Experimental Research on the Application of MEBO at the Early Stage of Burn without Debriedement

(Abstract)

Wang Guanshan, et al

(China Burns, WOunds and Ulcers Science and Technology Centre, Taishan Hospital)

Rabbits were artificially burned and smeared with Staphylococcus aUreus. The two pairs of rabbits were divided into two groups. Animals in the lst group were treated with MEBO and vaseline respeCtively without debriedement. Animals in the second group were treated with MEBO and vaseline respectively after debriedement. 3 days later, baCterial cultures were performed. In the lst group, the positive rates were 6. 67% and 100% and in the second group, the positive rates were 0% and 30%. The difference between the two groups was very significant P<0. 01, But the difference between the animals treated with MEBO in the two groups was of no significance P>0. 05.

The authors concluded that MEBO can be applied to the wounds without debriedement. The mechanism of action was discussed.

Histopathological Monitoring of invasive infections of Burn Wounds

(Abstract)

Li Liping, et al

(No. 1 Affiliated Hospital, Hengyang Medical College)

The aims of this research are to investigate 1. histopathological changes in burn tissues caused by baCterial invasion. 2. the relationship between the results of histipathological examination and tissue homogenate bacterial culture and 3. the significance of histipathological examination of invasively infected burn wounds.

The results proved that on the lst day post burn, there were invasive infusions in the deep normal tissues, but no inflammation occurred. After 3 days, inflammations occurred, The degree of the histipathological change and the baCterial count in the wound had a positive correlation (rs= 0.94, P<0. 002 ). Combined use of histopathological examination and tissue homogenate bacterial culture is ideal for monitoring invasive infections of burn wounds.

The Recognition of Wound infections

(Abstract)

Li Fengchun, et al

(No. 322 Hospitsl, PLA)

When moist exposed therapy is used for treating burns, MEBO is the main drug for use,. It is very efficacious and is capable to protect the wound from being infected. The authors used MEBO for treating 380 cases of burn and found that the main causes of wound infection were: 1. the ointment used was a counterfeit, 2. the skin was contaminated by liquefied substances and 3. improper use of the ointment. The authors suggested that wound infections could be recognized by: 1. erythema of the wound and its circumference and 2. subcrustal empyema of the third degree wounds. the authors also made a discussion on the method of management.

102 Cases of Superficial Third Degree Burn Treated with Moist Exposed Therapy in Combination with "Ploughing and Weeding Method"

(Abstract)

Zhao Junriang, et al

(China Burns, Wounds and Ulcers Science and Technology Medical Ceatre of Nanyang)

102 cases of superficial third degree burn were treated with moist exposed therapy in combination with "plOughing and weeding method". The rate of skin grafting was only 32%. The healing period was 28 1 5 days. After recovery, the appearance was very good. The formation of residual wound was effectively controlled. The function recovered very well.

The key to the treatment was an immediate application of the "Ploughing and Weeding Method" for 3 days, once every 3 to 4 hours. The thickness should be less than 2 to 3mm to ensure no pain and no bleeding. The distance between the ctjttings was 2mm. The vertical and horizontal cuttings did not overlap. After 3 days, moist exposed therapy alone was applied. Elastic bandage was applied and the dressing was changed once every day for a period of 6 months.

The aim of this treatment was to raise the temperature of the wounds to faciliate liquefication of necrotic tissue and to avoid absorption of the toxins, so that parabiotic tissue, healthy tissue and epithelial cells can survive. "ploughing and weeding method" helps the drug to enter the tissue and the toxins and sphacelus to be ejected. The necrotic layer collapsed quickly and no longer provided a culture medium for baCterial growth. Therefore, infeCtions were rarely seen when this methos was used. The drug maintained its effect for 48 hours. It regulated the growing ratio of the epithelial cell and the fibrocyte, lessened the damage of the wounds and proteged the basement membrane. Therefore, the therapeutic course was shortened. This method is ideal for treating superficial third degree burns.

451 Cases of Pediatric Burn Treated with MEBO

(Abstract)

Han Quanfu, et al

(Research institute of Plastic Surgery of Burns, Jingmen City)

451 burnt children were treated with MEBO. Attention was paid to prevention and treatment of shock and septicemia and the management of the wounds. After practising for 4 years, the authors recognized that conventional treatment was rather complicated. If not thoroughly steriliZed, the necrotic wound tissue would cause septicemia. MEBO has good permeability. It proteCts and moisturizes the wounds and has good analgesic effect. It creates moist environment physiologically suitable for wound healing and keeps an adequate concentration of the ointment in the wounds. Thus it effeCtively controls the infection and septicemia. PH value of the wounds was d6termined before application of MEBO.

Early anti--shock measures should be taken to prevent shock. Attention should be paid to the change of urine output and the velocity of infussion should be adjusted. The doctors should be aware of the high incidence of shock when infants and children had a burn area exceeding 75% BSA. Colloidal and eledrolyte infussion at the second 24 hours should be half of the amount for the first 24 hours. Water intake should be kept the same as for the first 24 hours.

APPlication of MEBO is easy and simple. If no Shock and no septicemia occurred and the wounds were properly treated, the result will be very satisfactory.

Efficacy Analysis of Early Comprehensive Treatment of 148 male children with Perineum Burn

(Abstract)

Zhou ROngfang, et al

(Dept of Plastic Surgery of Burns, North Jisngsu People' s Hospital, Affiliated to Yangzhou Medicsl College)

The authors analyzed the efficacy of early comprehensive treatment of 148 male children with perineum burn. Exposed therapy was the main treatment. If the wounds did not heal in 2 to 3 weeks, early nibbling decrustation was performed. After formation of new wounds, autografting with large reticular free skin graft of moderate thickness was performed. MEBO had been used to effectively control infections in the course of the treatment. The results were very satisfaCtory. This is an improtant measure for the prevention of local scar contracture dchrmity.

Use of MEBO in Accordance with the Circumstances and the Condition of the Wounds

(Abstract)

Qian Yunfeng,et al

(Hospital of integrated Chinese and Western Medicine for Burns, Dough District, Harbin)

Wounds with ulcer, hypersarcosis, severed finger with bone exposed, stump infected with subcrustal empyema and deep sinus were treated with MEBO. MEBO has the advantages of its moisturizing. analgesic, tissue regeneration promoting and toxic substance removing effects. It helps liquefication of necrotic tissue and promotes spontaneous drainage. The change of dressings has to be performed in accordance with the condition of w the wounds. The results were very satisfactory. The patients had no pains. The wounds healed quickly and the funCtion recovered very well.

8 cases of cartilage of auricle abscess excision, 1 case of atheroma infected and excised, 5 cases of chronic deep ulcer and 2 cases of severed finger stump with bone exposed were treated MEBO.

The authors introduced the different methods of the application of MEBO in accordance with the condition of the wounds. Some typical cases were described in details.

79 Cases of Burn Treated with MEBO

(Abstract)

Xu Degao

(Dept. Of Surgery, Hospitsl of Chinese Medicine, Shanghai)

79 cases of burn were treated with MEBO and moist exposed therapy. All the patients healed.

This therapy had very good analgesic effect and local antiinfective effect. It lessened the damage of the wounds. The patients could see with their own eyes the healing course of their wounds and they were psychologically comforted.

The author expressed his opinion about the skin allergic reaction which occurred in some patients and suggested that the allergic reaction was caused by improper smearing of the ointment and the obstruction of the sebaceous glands. The author also suggested measures for preventing and treating skin boils and swellings.

MEBO for Treating 2 Cases of Digestive Tract Burn Caused by Caustic Soda

(Abstract)

wang Jihuan

ss(Linqu County Hospital, Shandong Province)

The author used MEBO for treating 2 cases of digestive tract burn caused by caustic soda. The results were very satisfactory. No esophagostenosis occurred.

The two patients were admitted to the hospital , respectively at 2 and 6 hours after swallowing caustic soda. Upon admission, MEBO was administered orally. The patients were advised to swallow MEBO slowly. Pains were alleviated. MEBO was administered orally at increasingly prolonged intervals. Atter 7 days, the Patients were allowed to take liquid diet. MEBO was then administered once after each meal and drink for 4 to 5 consecutive weeks. After staying in the hospital for 10 and 12 days respectively, the patients were discharged and followed up for 3 momths. Nothing abnormal was found. Examination with barium meal proved that no esophagostenosis occurred.

The mechanism of the action was discussed.

MEBO for Treating 11 Cases of Post Hemorrhoidectomy and Post Fistulectomy

(Abstract)

Li Yunshall

(Hospital of the lst Section of 13th Bureau of the Ministry of Railways)

Hemorrhoid, anal fistula and anal fissure are commonly seen. After operation, the patients always have pains and have to be controlled by using narcotic agents. The author used MEBO to treat the wounds after operation. No analgesic agent was needed. The therapeutic course was shortened by 3 to 5 days as compared with that of the conventional treating method. The results were very satisfactory. The mechanism of the action was discussed.

MEBO for Treating 21 Cases of Nasal Septum Erosion and Ulcer

(Abstract)

Zhao Panbo, et al

(Hospital of lotegrated Chinese and Western Medicine, ryngdao, Shandong Province)

Nasal septum erosion and ulcer are commonly seen and often complicated by epistaxis. Conventionally, the lesion was treated with drugs or by electric cauterization and then smeared with boric acid ointment. The therapeutic course was long and the result was not satisfactory. When MEBO was used, it promoted the proliferation of the cells in the nasal mucous membrane, enhanced the local immune function and protected the lesion area from being damaged by the acidic environment of the nasal cavity and thus it facilitated the healing of the wound. This method is simple and easy, has high efficacy and short therapeutic course.

Clinical Observation of 34 Cases of Atrophic Rhinitis Treated with MEBO in Combination with Thrombolytic Enzyme

(Abstract)

Huang Qingshan, et al

(N. E. T. Dept., The Second Hospital, Laiwu City, Shandong Province)

The authors used MEBO in combination with thrombolytic enzyme for treating 34 cases of atrophic rhinitis. The average therapeutic course was 3 weeks. The patients were checked after 2 months. The activity of the cilia in the mucous membrane of the nasal cavity and smelling function turned normal. The total effective rate was 97.1 %. The 10 cases in the control group were submitted to turbinectomy and had a total effective rate of 70%. The difference between the two groups was very significant.

The authors made a discussion and proved that MEBO used in combination with thrombolytic enzyme had very good effect because this method treat6d both the principal and the secondary aspeCts of the disease. This method is very simple, economical and has high efficacy but has no adverse effects and no pains. It is worthy ho be popularized.

100 Cases of Cervical Erosion Treated with MEBO

(Abstract)

Jing Xiuyun, et al

(Health Station for Women and Children, Hehe County, Heilongjiang Province)

Cervical erosion is commonly seen in women. It is often refractory and is responsible for the incidence of cervical cancer. When treated with conventional method, this disease is painful and takes a long course to cure. The authors used MEBO for treating 100 cases of cervical erosion to give good therapeutic results. 97 cases were cured and 3 cases who did not obey the instructions of the doctor and did not pay attention to the hygiene of their menstrual period, had their erosion turned better but not really cured. A discussion was made.

2 Cases of Skin Necrotic Ulcer Healed by Treating with Bandaging with MEBO

(Abstract)

Li Chungui

(Central Hospital, No. 17 Bureau of the Ministry of Railways)

This paper reports 2 cases of large area skin necrotic ulcer healed by treating with MEBO bandaging method. MEBO bandaging method did not affect the drainage promoting and antiinfective effects of the ointment, did not affect the local microcirculation and granulation and epithelialization. This is suitable for cases not to be exposed and especially suitable for use in cold regions where hospitals and houses can not ensure a warm environment.

The Application of Skin Flap of Broadest Muscle of Back in Post Burn Deformity

(Abstract)

Wang Daialong, et al

(General Hospital, Beijing Military Region)

The authors used skin flap of broadest muscle of back for treating post burn deformity. 4 cases with neck and axillary region deformity were treated with island gratting and 1 case with faciocervical dmprmity was treated with free gratting. The results were very satisfectory.

The authors suggested that this method is very good for treating deformity after severe burns, especially for patients with large area thoracic scar. The advantages of the skin flap of broadest muscle of back are introduced.

Thick in Thick Skin Graft for Primary Repair of Severe Contracture of Cervical Scar

(Abstract)

Wang Heping, et al

(No. 159 Hespital, PLA)

Severe contracture of cervical scar post burn is a difficult task in plastic surgery. The authors used thick in thick skin graft for primary repair of 30 cases of severe contraCture of cervical scar to give very satisfactory results. The authors suggested that thick in thick skin graft for repairing severe contracture deformity of cervical scar has the advantages of simplicity of operation, slight damage of the patient, high survival rate of the skin graft and good recovery of the appearance and the function. This method is superior to other repairing methods.

Scalp Expansion for Repairing 20 Cases of Cicatrical Alopecia

(Abstract)

Song Xiaoting, et al

(Dept. of Plastic Surgery, No. 376 Hospital, PLA)

This paper reports the experience in the application of scalp expansion method for treating 20 cases of cicatrical alopecia. The bald area was 58 tO 230 cm2. 31 expanders were used. After followed up for & months to 2 years, 17 patients had their hair grown very well and had good appearance. Scalp expansion method is ideal for repairing cicatrical alopecia at present.