目录

The Experimental Morphological Study on Microcirculatory Vascular Tree of Skin (5)

(Abstract)

Bat Shuting, et al.

(Debt. of Microsurgical (Anatomy, China Medicsl University)

The authors investigated the spatial arrangement and the characteristics of different layers of the microcirculatory blood vessels in the skin flaps of the anterior part of the thigh, in order to provide experimental basis for the theory of the microcirculatory vascular tree of the skin. The authors also described in details, the distribution of vascular nets in different layers, the classification of the types of glomeruli in deep dermis and ingoing an outgoing arteries and vascular loops and th difference between the shape of blood vessels in thl skin flaps from the thigh and from the hand and foot. The results of this research will provide theoretica basis for the application of skin flaps from th anterior part of the thigh.

Analysis of Free Amino Acids in Vesicle Fluid of Burn Wounds

(Abstract)

Li Changlian, et al.

(No. 202 Hespitai of People' s Liberation Army)

Thermal injuries otten cause serious stress reaction and result in metabolism disturbances such as hypermetabolism, over consumption of protein and redaction of body weight. Tissue edema and wound exudation further worsen the disturbance. In this paper, the authors report the results of analysis of free amino acid content in vesicle fluid of burn wounds of 35 cases of burn. These results help to guide the preparation of amino acid infusion liquid and their application in the shock stage of burn, to shorten the course of treatment and increase the rate of healing.

The authors compared the amino acid content if normal serum with that in the vesicle fluid and foun that the content of indispensible amino acids such al threonine, methionine and lysine, dispensible amin acids such as aspartic acid, alanine and arginine if the vesicle fluid is lower than that in normal serum. But glutamic acid content is higher. The authorl suggested a rational formulation of the amino act infusion liquid.

The Influence of Leukocyte Rheology on the Skin Flap Transplantation

(Abstract)

Chen Bohua, et al.

(Depemeni of Plastic Surgery,

Zhujiang Hospitals First Milieuly Mediod University,

Gueqzhou. 510282)

The characteristics of leukocyte rheology are side-flow towards, adhesive and less deformability. Firstly, Ieukocytosis can result in the blood flow slower or no-reflow phenomenon in capillaries, then disorderly microcirculation and oxygen deficiency of tissue take place. Secondly,it also disperses three harmful factors: IySosome enzyme, LT and tree radical. Thus microcirculation is further damaged, then the blood supply of tissue deteriorates. Leukocytosis can be seen pre operation or post-operation due to injuries, burns and operation. The increasing number of leukocytes can make the blood supply of microcirculation decrease. Furthermore,skin flap failure or necrosis. For improving the leukocyte rheology in the mlcrocirculation of skin flap, enhancing the blood supply of skin flap, there are six practical points.

Moist Exposed Burn Therapy and Wound Infections

(Abstract)

Cui Guanghuai,et al.

598 cases of burn had been treated with moist exposed therapy. Among Which 37 cases had different degrees of infusions, accounting to 6.18% of the total. The authors made a comprehensive analysis of the causes of infections and revealed the intrinsic relation between the therapy and the infection. The authors also described the attention points for the management of the wounds.

Clinical Efficacy Analysis of 798 Cases of Burn Treated with Moist Exposed Therapy

(Abstract)

Huang Shujun, et al.

(kept.of Burns, The lst Hospital, Muthejisng City)

This paper reports 798 cases of burn treated with moist exposed therapy. The largest burn area was 70%BSA. 384 cases had superficial second degree burns, 94 cases had third degree burns and 350 cases had deep second degree burns. The total healing rate was 100%. This therapy has good analgesic and antiinfective effects, It promotes healing of the wounds. No scar or only very thin scal had formed. This paper also gives an analysis of thE relation between the time of the application of MEBO and its efficacy.

Comparative Analysis of Changes in Body Temperature of Burn Patients

Treated with Dry and Moist Therapy

(Abstract)

Wang Jianping, et al.

(Huaibin County Hospital, Henan Province)

Burn patients were treated respeCtively with moist exposed therapy (group A) and conventional dry therapy (group B ) and changes in body temperature were observed. The difference between the results of the two groups was of statistical significance. Patients with no significant difference in burn area and depth were randomly divided into two groups. 50 cases in each group and were treated width moist eXposed therapy and conventional dry therapy respectively. Changes in body temperature were observed for 15 days. On the first to fifth days, patients in group A had higher body temperature. On the 11th to 15th days, patients in group B had higher body temperature. The difference was of significance. The authors suggested that patients in group A had higher body temperature at the early stage were due to difficulty in heat radiation. Early liquefaction of the necrotic tissue also caused elevation of body temperature. At the later stage, liquefaction was almost ending and infection was under control, therefore, the body temperature tended to lower. Patients in group B, at the laterstage, had dryness of necrotic tissue and scab had formed. The excretion underneath the scab could hardly be removed and bacterial infection became more serious, therefore, the body temperature of the patients in group B tended to elevate.

Efficacy Analysis of Three Methods of Burn Treatment

(Abstract)

Pn Xuyang, et al.

(People'ss Hospital, Langzkong City) .

The authors used Jingwanhong Tangshang Ruangao, arnebia oil and MEBO respedively for treating burn wounds and analyzed their efficacy. The results proved that MEBO is Superior to the two drugs in its analgesic, antiinfective effects and has lower rate of scar formation after healing. The difference between the results of MEBO and the other two drugs was very significant. The difference between the results of Jingwanhong and arnebia oil was not significant. The mechanism of the action was discussed.

Clinical Experience in Treating A Case of Burn involving 100% BSA

(Abstract)

Ma An--qing, et al.

(The lst Affiliated Hospital, Hunan Medical University)

The author treated a case of burn involving 100% BSA (third degree50%, deep second degree 40% and superficial second degree 10%).

The patient was treated with MEBT and MEBO and was healed.

The authors emphasized on comprehensive treatment of the patient, overall analysis of the symptoms and signs, viewing the various parts of the body as an organic whole and unity of the human body with the external environment.

In treating the wounds, MEBO was used externally in accompany with skin grafting when necessary, in order to achieve early elimination of the wounds. The authors concluded that MEBO is very eff6Ctive for dissolving, scab and for healing residual wounds after skin grafting for patients with deep second degree burns, especially for patients with large area burn complicated by sepsis or septicemia.

A Case of Especially Severe and Large (78%) Area Scald of the Aged Treated with MEBO

(Abstract)

Li Baoshen, et al.

(Dead. Of Sursery, Changchun Municipal Central Hospital)

A patient aged 58, was scalded especially severely with an area of 78%BS. Upon admission to the hospital, he was treated with MEBO and Moisl therapy. Antishock and antiinfection measures were taken. The pains were relieved in 2 minutes aftel application of MEBO. But his family member insistec that he should be treated with conventional drl therapy using SD--Ag powder. After SD--Ag was applied onto the wounds in the upper extremities an the neck, the patient felt very painful and refused receive SD--Ag in his lower extremities and hil trunk. Therefore, this patient had two different drugl to be used in different parts of his body. MEBO was used in lower extremities and trunk. The superficia 2nd degree wounds healed in & days. Deep 2nd degree wounds healed in 17 days and superficial 3rd degree wounds healed in 25 days. In the upper extremities and the neck, SD--Ag was used. Superficial 2nd degree wounds healed subcrustally in 13 days. Deep 2nd degree wounds healed subcrustally in 24 days. Superficial 3rd degree wounds healed subcrustally in 40 days. The right shoulder of the patient had deep Znd degree wounds was treated repeatedly with SD--Ag. Hard crust had formed. The shoulder was frozen and movement became very difficult.

This case strongly proved that MEBO and moist exposed therapy is superior to the conventional dry therapy.

Clinical Experience with MEBO for Treating Residual Burn Wounds

(Abstract)

Li Fengchun

(kept. Of Burns, No. 322 Hospital, PLA)

Burn wounds treated with dry therapy often had residual wounds, which are difficult to heal and become refractory ulcers. At this stage, the patients have very poor immunologic function and health condition. The bacteria in the wounds become resistant to the antibiotics. The survival rate of the . skin graft becomes very low. The author used MEBO for treating 68 cases of residual burn wounds. The results were very satisfactory.

The author suggested that the causes which make the wounds long unhealed are:

1. The baCteria become resistant to the antibiotics and are highly toxic.

2. The blood circulation in the local area of th wounds becomes very poor.

3. ImproP6r treatment of the wounds.

4. Lowering down of the immunological function.

MEBO is effusive for improving bloc circulation, inhibiting baCteria groWth and thereforE it helps the wounds (with a size less than 4 cm i diameter) to heal spontaneously. Wounds with diameter larger than 4 cm can be skin grafted. Th survival rate of the skin graft is higher and th spreading is quicker.

MEBO for Treating Burn Wounds Caused by Tear -- gas Bomb

(Abstract)

GOng HOnggui

(People's Hespitai, Boluo County, GUangdong Province)

Burn caused by taer--gas bomb is rarely seen. The author treated 5 cases of burn of this kind with MEBO. All the patients healed. The author concluded that 1. All the foreign substances shoul be completely removed. and 2. The efficacy MEBO is very satisfactory.

Clinical Experience in Treating 74 Cases of Burn Caused by Hydrofluoric Acid

(Abstract)

Zhou Chun--e

(Hospital for Prevention and Treatment of Professional Diseases, Zibo City)

The author treated 74 cases of burn caused by hydrofluoric acid using MEBO. The largest burn area was 33%. The results revealed that MEBO had very good analgesic eff6Ct. The wounds healed very quickly. MEBO can neutralize the toxic substance and is an ideal reinedy for treating burns caused by hydrofluoric acid.

The author described in detail, the local an syStemic treatment of the patients.

Post--operation Application of MEBO for Treating Patients with Anorectal Diseases

(attract)

Liu Peiri, et al.

(Jiaotong Hospital, Shandong Province)

The authors used MEBO for treating patients with anorectal diseases after submitted to operation. The results were very satisfactoty. MEBO promoted healing of the wounds and shortened the healing time. It relieved the pain. Atter the wounds were healed, the newly grown skin had very good elasticity and was very soft. No scar formed and no contracture happened. MEBO was superior to other remedy using conventional mathod of dressing change.

A Case of Abenteric Fistula Treated with MEBO

(attract)

ran Jiansnu

(Anlwavs Hotultai, Shaowu City, Fujian Province)

Abenteric fistula is commonly seen in patients with abdominal infusion and after been opersted on. It is difficult to cure and has high death rate. The author used MEBO for treating a case of abenteric fistula. The patient was healed.

MEBO for Treating 15 Cases of Hemorrhoids

(Abstract)

Wad Shupei, et al.

(Clinic Of the W6lfare Service for Children,Nehe City ,Heilongjiang Provinec)

15 cases of hemorrhoids were treated with MEBO. The results were very satisf8Ctory. The pstients were advised to take hip bath with warm water and to keep tree movement of the boewls. MEBO was applied onto the lesion area. Pains were alleviated in 5 to 10 minutes after aPPlication of MEBO. The average healing period was 2 weeks.

The authors made a discussion on the mechanism of the action of MEBO and concluded that MEBO is easy to use and is a good remedy autotherapy.

2 Cases of Balanus Ulcer Treated with MEBO

(abstract)

(The 2nd Cliaic Of Public Health Service, Fuzhou sty)

2 cases of balanus ulcer were treated with moist exposed therapy and MEBO. The results were very satisfactory. Frequent change of dressings was avoided.

MEBO for Treating Septum Mucosa Erosion

(Abstract)

Lu Xuemei

(People's Hospital, Liaocheng Prefecture, Shandons Province)

50 cases of septum mucosa erosion were treated with MEBO. 48 cases healed and 2 cases turned better. MEBO promoted healing of the wounds. It protected the wounds and had antiinflammatory effect. The author also used Compound Menthol -- Camphor Nose Drops for treating 30 cases of septum mucosa erosion. 22 cases healed, 6 cases turned better and 2 cases failed to respond to the Nose Drops. MEBO had better efficacy as compared with Nose Drops.

Application of MEBO after Operation on Nasal Cavity

(Abstract)

Huang Qngshan, et al.

(The Znd Hospital, Laiwu City, Shandong Province)

The authors used MEBO for treating patients post nasal polypectomy and turbinectomy. MEBO gauze was used to fill the wound cavity and in a control group vaselin gauze was used. MEBO had better analgesic, hemostatic, antiinfective and healing promoting effects. It shortened the healing course and lessened the local sdema and adhesion. This method is worthy to be popularized.

A case of Cold injury Treated with Moist Exposed Therapy fherapy

(Abstract)

Ji Yanchang

(Dept. of Surgery, Hospital of Yuanbaoshan Power Station)

A patient was chilled by liquid nitrogen in the wrist and the dorsal part of the right hand. Vesicles appeared and were painful. The patient was irradiated with infra--red rays. The whole hand was swelling and pains became unendurable in 3 days. The vesicles were partially exfoliated with incessant exudste. Upon admission to our hospital, the patient was treated with MEBO. Smearing of MEBO was done every 3 to 5 hours. The patient healed in 19 days.

Nursing Experience with MEBO in Treating 31 Cases of Pediatric Perineal Burn

(Abstract)

Gong Feixin, et sl.

(Affilisted Hospital of Taishan Medical College)

31 cases of podiatric perineal burn were treated with MEBO. The buttock of the children was suspended during the course of the treatment. 29 cases were healed and 2 cases healed after skin grafting. None of them had any infeCtions or complications. MEBO is very effective for treating -the burn wounds.

Nursing Experience with Moist Exposed Therapy for Treating Burn Children

(Abstract)

Dai Hongxia

(Guanganmen Hespitai, China Academy of Traditional Chinese Medicine)

47 burn children were treated with moist exposed therapy. Among them, the youngest aged 7 months and the oldest 10 years. The largest burn area was 28% BSA. 34 cases had deep second degree and third degree burns and the rest of them had superficial second degree burns. All,the burn children heeled in 2 weeks or turned better and were discharged from the hospital.

The author described the main points Which are of importance in nursing.

1. Daily life of the children and the humidity and temperature of the ward.

2. Nursing service during the shock stage, including establishment of infusion channel, inspection of urine output, mental condition, changes in body temperature, pulse and respiration.

3. At the infection stage, attention should be paid to vital signs. Patients with high fever should be cooled physically. Effort should be made to avoid septicemia.

4. Diatary regiem.

The Application of Hypodermis Pedicle Island Flap

(Abstract)

Zhang Zuofeng

(Dept. of Burn Plastic Surgery, Affiliated Hospital, Binzhou Medical College)

32 wounds were repaired using hypodermis pedicle island flaps. The results were very satisfactory. The flaps had good skin quality. When cutting off the flaps, there is a relatively long distance to push on and there is no need for excision of the skin close to the lesion area.

The author made a discussion on different approaches to the operation and points for attention in the design of the operation.

Great Pectoral Muscle Island Flap for Repairing Detonator Explosion Wound

(Abstract)

Liu Naijun, et al.

(Dept. of Plastic Surgery, Tonghua Muulcipal Central Hospital, Jinn Province)

The authors treated a case of neck injury caused by datonator explosion. The patient was hospitalized 48 hours after injured. There was an open wound involving half of the upper anterior part of the neck and the submaxillary region, with a depth to the throat. All the tissues in the wound had gone. The stump of the trachea was exposed at the lower part of the thyroid gland and was severely contaminated. The patient was submitted to liquid incision uPOn admission to the hospital and was then oblated on. Dedriedement was done under general anesthesia and the throat cavity was retired using right side sternocleidomastoid muscle residual muscular flap and left side sternocleidomastoid muscle flap. The tract leal stump was reconstructed in the thract cavity and the wound was thee pulled out under the channel and was sutured using right great pectoral muscle flap and the muscle flap from sternal part of great pectoral muscle and vascular nerve Pedicle and was left to drain. 9 days after operation, the stitches were removed and the wound healed by first intention. The reconstruction of the throat was expeled to be done in half a year. A discussion was made.

Repaid -of Mentum--Thorax Adhesion post Burn by Skin Dilation

(AStract)

Cheng Chunfu, et al.

(No. 91 Hespitai, PLA)

Mentum --thorax adhesion is a typical severe scar contracture of the neck post burn. It affects the function and makes the patient 100k ugly. 8 patients with mentum --thorax adhesion post burn had been operated on using skin dilation method. The function and the appearance recovered very well. This method proved to be very successful.