目录

Determination of Free Plasma Hemoglobin of Burn Patients and its Conical Significance

(Abeact)

Wang YougWu, at al.

(Dept. Of Burns, No. 91 Hospital of PLA)

62 patients were randomly chosen to be submitted to free plasma hemoglobin determination on the lst.2nd. 4th. 7th and 14th day post burn. in order to find out the dynamic changes in hemoglobin level. The results revealed that at the early stage (1 to 4 days post burn) FHb level in the plasma of patients with simple skin burn. with or without inhalation injury. having burn area smaller than 30% BSA and patients with burn area larger than 30%BSA and fatally burned patients. elevated significantly (P<0.01 ).The degree of the elevation of the level varied with the degree of the injury. Patients with fatal burn injury and those complicated by inhalation injury had their hemoglobin level elevated more significantly. 4 to 7 days after burn, most of the patients had their condition improved and their elevated FHb level' turned to decline. After 7 to 1 4 days, patients with burn area smaller than 30%BSA returned to normal value. Patients severely burned and those died eventually, kept FHb in a high level (P <0.01 ).

The authors made a discussion on the factors causing hemofysis at the early stage of burn and suggested that determination of plasma FHb level can give timely information reflecting the occurrence and the degree of hemolysis and therefore it is of clinical significance in the treatment and the prevention of burn complications.

Electron Microscopy of One Case of Skin Burn Wounds Treated with MEBO ..

(Abstract)

Zhang Xuezkoug, et al.

(Dept. of SUrgery and Pathology, General Ho8Pitai of Bend iron ed Steel Compel, Liaoaing Proved)

This paper reports a child with 30%BSA third degree burn and a total burn area of 75%BSA. treated with anti-shock measures, excision of scab. pinch skin grafting and anti--infection measures. There were still large area of mixed degree exposed burn wounds. 30 days post burn. The wounds were treated with MEBO. Transmission electron microscopic and optical microscopic investigations were carried out before and after the application of M EBO. The results revealed that before the application of MEBO. there were perinuclear vacuoleg in the cell and the elastic collagenous fibers were in disorder. After the application of MEBO, the cells turned normal with desmosomes connecting the intercellular bridges. The results further proved that after using MEBO. the wounds healed without formation of hypertrophic scar as seen with naked eyes and the ultra--structures of the healing wounds were as normal as ordinary wounds seen under the electron microscope.

The Experimental Morphological Sandy on Microcirculatory Vascular Tree of Skin (4)

(Abstract)

Bai Shuling and Liji

(Department of Microsurgical Anatomy of China Medical University. Zip cord 110001)

After studying on the morphology of microcirculatory vascular tree of skin in adult human h-and and foot, the vascular architecture of the skin of the fatal toe strias was observed under Scanning Electron M icroscope.

The regulation of reorgnization and reconstruction of the fetaf toe striae vessels, during the fetal development period, was also observed.

We found that : Fornex--like spiral vascular loops exist in the papillary layer of skin. there are also some vascular baits in nail bed of toe. and soms edreullav vascular networks also exist in the toe striae area. The morphological feature of the vascular bud in fetat toe skin was showed here, our purpose is to illustrate the vascular morphological basis for ctinical tissue transplantation of fetal skin of human being.

A New Approach to the Treadment of Pigmented Spots

(Abstract)

Guo Wenping, ac al.

(Dept. of Burns, The lst Affiulated Hospital, Xinjians Medical Conege)

Pigmentation in the skin grafting area. especially in the exposed parts of the body is a common complication of burn. Aestates in face is also a common disease. These diseases seriously affect the beauty of the patients.

The authors treated 4 cases of face aestates and pigmented spots using rolling dermatome to remove the pigment by cutting off the epidermis. A superficial Znd degree wound was produced and. MEBO was applied. MEBO protected 'the wouind. promoted the microcircufation and the regeneration of the epithelium. The wound healed very well. The results of the 4 cases proved to be very satisfactory, after followed up for more than one year.

Clinical Experience with MEBO in Treating 241 cases of Burn

(Abstract)

Song Fatal, at al.

(Hospital of Chinese Tradtinal Medicine , Luoke City, Henan Ptovha)

This paper reports the application of the technique of moist therapy in the treatment of burns. The authors suggested that the key to the success in the treatment of hypovolemic shock of patients with large area burn is early intravenous Supply of crystalloid and colloid fluids to enhance the volume of the blood.

Clinical practice proved that moist therapy has wide application. It is simple and has good analgesic and antiinfective effects. It improves microcirculation. promotes epithelial profiferation and wound healing. It reduces the formation of scar and the rate of disablement. It is worthy to be popu la rized.

Treatment of Large Area Burns

(A Report of 63 Cases)

(Abstract)

Xing Jun, et al.

(Research Center of Burns, Wounds and Ulcers, Affiliated Hospital of BinZhou Medical College)

This paper reports the cpmprehensive treatment of 63 cases of large area burn. The smallest burn area was 42%BSA and the largest 98%BSA. 51 cases healed and 10 cases died. 2 cases left the hospital on their own will. The results proved that deep second degree burns can be healed spontaneously. If scar formed. MEBO should be applied continuously until the scar softened and vanished.

The authors concluded:

1. The key to the Success in the treatment of large area burns is to prevent shock. First 2 days post burn. adequate transfusion of whole blood. plasm and albumin is necessary. At the same time, administration of Fufang Dand Shen. low molecular weight dextran. 654--2. etc. is recommended to improve microcirculation. These drugs may play positive role in the prevention and treatment of shock.

2. Pay attention to the rational use of antibiotics and adhere to the principle of Chinese Traditional Medicine that diagnosis and treatment should base on overall analysis of the symptoms and signs. Chinese drugs with heat clearing. detoxifying. blood stasis removeing, body resistance strengthening. pathogen ic factor eliminating. necrotic tissue removing and granulation promoting effects can be used for the prevention and. the treatment of systemic infections.

3. Timely removal of necrotic tissue is recommended to promote granulation and to create favorable conditions for skin grafting and early obliteration of the wounds.

4, After skin grafting. the wounds are bandaged with M EBO to promote survival of the skin graft and to accelerate the healing of the wounds.

5, M EBO is directly applied onto severely infected wounds after debriedement. 2 to 3 days later. the systemic symptoms of the patients will significantly turn for the better.

Clinical Experience in Treating Moderately severe Burn wounds using MEBO

(Abstract)

Wan Gueqshun, et al.

(Taishan Hospital, China Science and Technology aunter of Burns, Wounds and Ulcers)

The authors used MEBO for treating 26 cases of large area burn in the period from June. 1988 to May. 1991. Among them 22 cases had moderate and severe and third degree burns. MEBO was applied after excision of the necrotic tissue. All the patients healed with satisfactory restoration of the function and only very slight scar formation.

The largest burn area was 95%BSA and the amahest 50%BSA. The largest area of third degree burn was 40%BSA and the smallest 10%BSA. The necrotic tissue (2 /3 or 4/5 of the necrotic layer) was excised using a rolling knife or a lancet. 5 to 9 days post burn. No pain. no bleeding and no d.amage in the ecological organization are the essential requirements during the operation. After excision. MEBO was smeared on the wounds to an adequate thickness and the wounds were bandaged. The change of dressings was perforated once every 24 hours. Soft and loose tissues were cleared away. The debriedement was finished 1 5 to 20 days post burn. After granulation, whether the wounds were to be skin grafted or were to the left to heal spontaneously. depended on the number of the skin islands. The wounds were expected to close in 35 to 45 days postburn.

84 Cases of Severe Burn and Exceptionally Severe Burn Treat6d with Moist Exposed Therapy

(Aboact)

Wang Shiyou

(No.364 Hospital of the Ministry of Aeronautics and Astronautics Industry, xiangfan City)

The author treated 84 cases of sevele and exceptionally severe burns using moist exposed therapy. 82 cases healed. The results were very satisfactory. 2 cases died of disseminated intravascular coagulation (D IC) and multi--system organ failure (MSOF).

Application of MEBO for Treating 32 Cases of Tabed Degree Burn at the Early Stage After Skin Grafting .

(Abstract)

Zkeng JianZhong, et al.

(No. 285 Hospital, PLA)

32 cases of third degree burn were treated with MEBO at the early stage after skin grafting. The results were satisfactory. MEBO was applied 48 to 72 hours after skin grafting. when the wounds looked fresh and ruddy. The wounds were exposed three times every day and healed in ac 7 to 10 days after operation.

The authors Summarized:

1, MEBO had anti-inflammatory. analgesic and granulation promoting effects' The moist environment was favorable to the survival of the graft and therefore. the healing of the wpunds was accelerated and no scar formed.

2, During the change of dressings, there was no pain. The surviving graft did hot exfoliate.

3. The treatment was simple. economical and time saving. The inspection of the exposed wounds was very easy.

Moist Exposed Therapy for Treating Pyocyanic Infection of wouds

(Abstract)

Zku Xiaoyuau, at al.

(Hospital of ingrated Chinese and Western Medicine, Nanckang City, Jiangxi Province)

The authors used moist exposed therapy for treating 11 burn patients. Before the acalication of MEBO, the wounds had blue pus. Pyocyanic infection was proved by bacteria culture. After the application of MEBO with moist exposed method. The infections were quickly controlled. After 17 days of ConsefcutiVe application of the ointment. necrotic tissues were cleared away and fresh granulations appeared. The wounds healed in a month with good functioning and very few thin and soft scars. The results fully proved that MEBO is very efficacious for treating pyocyanic infections. The mechanism of its action is d'iscussedi.

MEBO for Treating 84 Pallatric Burn Patients

(Abstract)

Zheng Guopins

(Huangzhou Special Hospital of Burns)

During the period from 1989 to December. 1990, the author treated 84 podiatric burn patients using moist exposed burn therapy. The largest burn area was 56%BSA and the largest third degree burn atea was 15%BSA. Among them, 36 had slightly moderate burns. 33 had moderate burns, 11 had serious burns and 4 exceptionally serious burns. The average hospital stay was 20.9 days. #-shaped incisions were made on wounds which did not liquefy, to promote liquefaction. MEBO was applied in mesh gauze to cover the wounds, to protect the newly grown skin islands. For wounds with few skin islands. early skin grafting was performed to raise the survival rate of the graft. For deep second degree and third degree wounds, no scar formed at the early stage. But later. some scars. soft but a little higher than the skin surface, formed. The function of the skin was not affected. The appearance and the elasticity were very good.

MEBO for Treadsg 23 Cases of Pedatric Perineal Burn

(Abstract)

Lao Jiaguo, et al.

(Dept. of Surgery, Hospital of Cheuxi Coal Mine, Hunan Province)

23 cases of podiatric perineal burn were treated with moist exposed burn therapy. All the patients healed. No infection occurred. Perineal wounds are susceptible to contaminations. The infective rate is usually high. Scar contracture. which often results in deformity of the external genital organ and affection of its physiological function, is commonly seen in deep burn won.nds and infected wounds after healed. Moist exposed therapy protects the wounds from infections and promotes the healing of the wounds. The recoVery of the function is very satisfactoly.

Cabal Observation on 18 Cases of Compressed Region Burn Wounds Treated to MEBO

(Aboact)

Xu Xisheng, ac al.

(Affiliated Hospital, Taishan Medical College)

The authors treated 18 cases of compressed region burn wounds with MEBO. during the period April. 1990 to January. 1991. 17 cases healed. 1 case died of septicemia. The average healing course was 16.6 days. Tthe authors suggested that after debriedement. MEBO was applied on the wounds and the wounds were covered with two layers of sterile gauze. The patients were allowed to lie on sterile sheet in supine position. The change of dressings was performed once every 3 hours. The time interval of the change of dressings could be prolonged when the condition of the wounds had improved. The application of MEBO was continued until the wounds completely heafed.

The authors concluded that MEBO protects the wounds and reduces the exudation, prevents further necrosis of the stasis zone tissue. promotes wound beating and drainage and facilitates the removal of necrotic tissue. so that the compressed region wounds were not infected. Moist therapy has sofved a difficult problem--compressed region wounds often become chronic ulcers.

32 Cases of Facial Burn Treated ac Moist Exposed Therapy

(Abstract)

Chen Congckao

(Dept. of Surgery, People's Hospital, Jiaojiang City, Zhejiang Profore)

32 cases of facial burn were treated with moist exposed therapy. The 'results were very satisfactory. The author realized that moist exposed therapy folr treating deep second degree facial burns has the merits of no plan. no infection. comfortable feeling. normal functioning of the organs, quick healing of the wounds and no scar formation. Moist exposed therapy is an ideal method for treating facial burns.

The Application of Moist Exposed Therapy and the Nursing of Burn Wounds

(Abstract)

Huang Sifu, st al.

(The 1st Hospital of Ningyang County, Shandong Province)

The authors used moist exposed therapy for treating 50 cases of burn. This paper summarizes their experience in the nursing and the treatment. For craniofacial burns. the first thing to do is thorough debriedement. Pilial parts should be shaved using a razor. MEBO should be applied after shaving and debriedement. A boy who was treated with MEBO. without shaving and debriedement. The wounds were infected. Purulent scabs formed. He had a high fever for 5 days. Administration of antibiotics and other expectant treatment proved futile. After shaving and debriedement and clearing away the purulent scabs. MEBO was applied again. His body temperatu re turned normal quickly.

The authors suggested that appropriate thickness of the smearing of MEBO and timely and thorough removal of the liquefied products were necessary, otherwise the skin would be macerated and allergic reactions such as skin rash would occur.

7 days after the application of MEBO, the scar tissue became thin and soft. After 15 days. microvascular net began to appear and after 25 days. pains and itching were alleviated and the scar tissue became thinner and softer. The stiff joints became flexible and extensible. After 40 days. newly grown skin began to appear. The patients could walk with the aid of a cane. After 60 days, the patients could move about freely. The wounds became smooth and had good elasticity.

Experience with MEBO in Treating 40 Cases of Wounds and Ulcers

(enact)

Wei MaoyUan

(Dept.of Surgery, Central Hospital of Linal Mining Bureau)

This paper reports the application of MEBO in the treatment of 40 cases of wounds and ulcers. 9 cases had skin avulsed wounds. 19 cases had residual burn wounds, 6 cases had knife cut blindgut wounds, 3 cases had chronic leg ulcers. 1 case had lumbogluteal crush with large area necrosis forming a large ulcer and 2 cases had ulcers on the dorsal region of foot.

The author concluded that MEBO promotes the drainage in the wounds. enhances the resistance of the local area. protects wound skin islands and promotes epithelial proliferation. It has marked antiinfective effect. When MEBO is applied after skin grafting. it promotes the survival and the growth of the graft. It also prevents scar formation. The therapeutic course is short and the efficacy is very good.

APPlication of MEBO after Excision and Drainage of Abscess

(Abstract)

Yang Saunaing, et al.

(Dept.of Surgery, Xinduang County Hospital, Hunan Province)

Abscess is a common disease with high incidence. Conventionally, the excision and drainage are performed using strips of vaselin gauze as the drain. It is painful and the healing course is prolonged. The authors used strips of MEBO gauze to replace vaselin gauze for treating 62 cases of abscess. during the period from May. 1990 to June. 1991. The results were very satistactory. During change of dressings. there was no pains and the Wounds healed very quickly. The healing course was significantly shortened as compared with conventional treatment. The authors gave a discussion on the mechanism of the action of MEBO.

17 Cases of Decubital Ulcer Treat6d with MEBO

(Abstract)

Chen Chuangming, et al.

(Dept. of Surgery, The 2nd Hospital of Chinese Traditional Medicine, Luoyaug, Henan Province)

According to the theory that burn wound is a combination of all kinds of wounds and ulcers. MEBO was used for treating 17 cases of decubital ulcers. The total number of the wounds was 27. The smallest wound area was 2cm x 3cm and the largest 7cm x 11cm. The shortest healing course was & days and the longest 2 months. 16 patients with 26 wounds healed very well and 1 patient transferred to other hospital on their own will.

The authors concluded that MEBO has unique antiinfective and won nd heal lug promoting effects. It is of first choice for treating decubital ulcers.

MEBO for Treating 34 Cases of Impetigo

(Ahoact)

Bao Zuoyi, ac al.

(Cedeal Hospital, the 15th Bureau of the Ministry of Railways, Luoyany, Henan Province)

The authors used MEBO for treating 34 cases of impetigo. All the patients healed. The shortest therapeutic course was 5 days and the longest 10 x- days. No antibiotic was applied. except for three cases complicated by lymphadenectasis and had a high fever. The authors concluded that MEBO for treating impetigo is superior to other therapeutic methods. It is easy to apply and has good effect for improving local microcirculation. increasing the blood flow of the lesion area and enhancing immunity. It is an ideal remedy for treating impetigo.

A Comprehensive Analysis of the Application of MEBO in Post--Hemorrhoidectomy and Post--Fistuledsmy

(Abstact)

Lu Qian

(Urban Central Hospital, Laiwu City, Skandong Province)

MEBO was applied in the dressing change of 147 patients of post--hemorrhoidectomy and Post-fistulectomy and conventional dressing change was performed for another 147 patients. The results proved that the application of MEBO in the dressing change accelerated the healing of the wounds. markedly shortened the healing time (P <0.01 ). MEBO had prolonged analgesic effect and the use of analgesic drugs could be reduced (P < 0.0001 ). MEBO also lessened the scar formation and prevented wound edema.

Application of MEBO for Post--Operative Treadment of PatientS with Anal and Rectal Diseases

(Atrstract)

Ren Wenqian

(Hospital of the lst Railway Department, Shunyi County, Beijing)

53 patients with anal and intestinal diseases were treated with MEBO after operation. Among them, 7 cases had anal fistula, 33 cases mixed hemorrhoids. 8 cases anal fissure and 5 cases perianal abscess. Feces were controtled for 2 days after applying MEBO. The ointment was applied again beginning from the third day and once or twice every day thereafter. The healing period of the wounds was shortened by 3 to 5 days as compared with those treated with conventional method. No complication occurred. The skin had very good elasticity and was soft with no contracture of the scar.

The author concludeds

1. M EBO had good analgesic effect.

2. The wounds healed early with no edema and no scar contracture.

3. The patients were free from pains.

4. MEBO had good effects for prevention and control of infections.

MEBO for Treating 7 Cases of Incisional Wound Infections Post--Appendectomy

(Abstract)

Hou Jun, ac al.

(Dept. of Surgery, People's Hospital, Qihe County, Shandong Province)

The authors used MEBO for treating 7 cases of incisional wound infections post- appendectomy.according to the theory advanced by Prof. Xu Rongxiang that burn wound is a combination of all kinds of wounds and ulcers. The reSults proved that MEBO has blood stasis removing. blood circulation promoting. ant,in-flammatory. analgesic, necrotic tissue removing and granulation promoting effects. It promotes the liquefaction of the necrotic tissue and the healing of the incisional wounds. The healing course was shortened and the results were satisfactory.

Moist Exposed Therapy for Treating Tetanus

(Abstract)

Qi Rndua

(Dept.of Surgery, Wuke County Hospital, Andui Province)

13 cases of tetanus were treated with moist exposed therapy. In addition to systemic treatment. the wounds were treated with moist exposed method. The curative rate was markedly increased. 4 out of the 5 adult patients were Cured and 1 died. 5 out of the & infant patients were cured and 1 died. The other two left the hospital and were not followed up. Suffocation was the direct cause of death.

The author concluded f 1. MEBO is non-- irritative. 2, MEBO quickly controls the infection and effectively inhibits the growth of the bacteria and prevents the bacterial toxin from entering the blood circulation. 3. MEBO has analgesic effect. It promotes spontaneous drainage and improves microcirculation and promotes the healing of the wound. Moist exposed therapy opens up a new approach to the treatment of tetanus. The mechanism of its action remains to be further investigated.

The application of MEBO in Treating Necrotic Fasciitis

(Abstract)

Li Duanfeng

(Jiyang County Hospital, Shandong Province)

Necrotic fasciitis is a severe disease with high death rate. The author used MEBO for treating 5 cases of necrotic fasciitis. MEBO was applied after adequate. incision and drainage. The disease was rapidly controlled and the healing course was shortened.

42 Cases of EPidermal Abrasion Treated on MEBO

(Abstract)

Yang Jin, et al.

(People's Hospital Attacked to Fujian College of Chinese Traditional Medicine)

The author used MEBO for treating 42 cases of epidermal abrasion. All the patients healed. The resuits were very satisfactory.

39 out of the 42 cases were treated with MEBO using moist exposed method and 3 cases were treated with MEBO using bandaging method. The largest abrasion area was 30cmx20cm and the smallest 2cmx1cm. Superficial abrasions healed by epithelialization in 10 to 18 days. Deep abrasions healed in 25 to 34 days with slight scar but without fu notional disturbance.

The authors concluded that MEBO had reliable analgesic and anti--inflammatory effects. The wounds healed quickly. The change of dressings is very easy to perform. The patients were free from pains and the medical personnel had their work load markedly lightened. MEBO is a good remedy for surgical use in hospital and is a necessity for the family to be used in case of accidents.

MEBO for Treating 9 Cases of Diaper Dermatitis of Newborn

(Abstract)

Tu Yuewei

(Dept. of Surgery, Shoao Prefecture Hospital, Yunnan Province)

9 cases of diaper dermatitis of newborn werE treated with M EBO. The results were very satisfactory. 7 of them had epidermal ulcers and 2 had white pus associated with superficial ulcers. 4 cases had skin lesion located mainly in the perineum and the medial part of the thigh and 5 cases had dermatitis involving the back and the lower abdomen. The longest therapeutic course was 11 days and the shortest 3 days. MEBO is nonirritative. The patients receiving the treatment were free from pains. It is superior to other drugs used for this purpose.