目录

Observation with Scanning Electron Microscopy on Three Dimensional Architecture of Microcirculatory Vessel of Semimembranous Muscle Semimembranous Muscle

(Abstract)

Bat Shuting Li Ji

(Microsurgical Anatomical Laboratory of CMU)

Three dimensional architecture of intramuscular microcirculatory vessels of semimembranous muscle was studied by observation of vascular cast under scanning electron microscope.

The classification of morphology of intramuscular vessels was made and the feature and regulation of is the distribution of three dimensional vascular networks in the intramuscular microcirculatory vessels were illustrated. The physiological significance of the intramuscular vascular architecture was discussed.

The purpose of this paper is to provide the morphological basis of vascular architecture for clinical muscular flap transplantation in treating serious tissue defect, resulted from burns.

The Molecular Biology of Elastin and Collagen in the Dermis

(Abstract)

Xi Sichuan

(Cardiovascular institute and Fuwai Hospital, Chinese Academy of Medical Sciences)

This review focuses on the recent biological research on the molecular structure, synthesis and gene control of elastin and collagen in the dermis. The purpose of this review is to help better understanding of the molecular biological basis of the healing of skin wounds.

The Clinical Significance of the Determination of Serum Potassium Content and Endoerythrocytic Potassium Content of Burn Patients

(Abstract)

Chen Cunfu Han Yuqing 1 Yuan Fanrong Fu Dongmei

(No 91 Hospital)

A comparative study of the serum potassium content and endoerythrocytic potassium content of the healthy people and 52 medium and small area burn patients was made. Determination of endoerythrocytic potassium content of burn patients is of great clinical significance. The result can accurately reflect the condition of potassium metabolism of the patients.

The Application of MEBT and the incidence of WOund Infection

(Abstract)

YI Xiaojln Zhang Min

(People's Hospital, Yicheng Prefecture, Jiangxi Province)

The authors made a series of comparative studies and concluded that MEBT had unique effect on the control of wound infection. The incidence of pyemia was due to improper use of MEBO. The authors analyzed the causes of pyemia and made suggestions to the settlement of the problems.

Renal Function injury of Severely Burned Patients at the Early Stage

(Abstract)

Cul Guanghuai Liu Tonglln Yue Baogui Zhang Guoqiang Zhang Zheng Wang Yunwen

(Dept. of Burns, Affiliated Hospital, Binzhou Medical College)

During the period from January 1993 to September 1994, our department treated 250 burn patients. Among which 25 patients had severe burns and 16 of them had their renal function monitored at the early stage and preventing and treating measures were taken. 10 of the 16 were found to have different degrees of renal function injury. 8 of them cured and 2 with a- cute renal failiur died. The incidence of renal function injury was 4.0% and of renal failure was 0. 8%. 6 patients did not have renal function iniury.

The Application of Moist Bandaging Therapy in Treating Outpatient Burn Cases

(Abstract)

Ge Chuanshen Jiang Hongmei Zhou Huiying Ma Guoping Ma Haiyan Lu Zhijun

(Dept. of Surgery, Nanski Hospital of TCM, Shanghai)

330 outpatient burn cases were treated in the hospital. In which 322 cases were treated with moist bandaging therapy, while & with moist exposed therapy. The results were satisfactory. This proved that more than 90% of the burn patients can be treated without hospitalization. Most of the patients had small area burns in the mobile parts of the body. They had to keep on their normal work and life. Bandaging therapy was more suitable for them. The authors suggested that standardization of the technique of moist bandaging therapy is very important in the popularization of the moist b.urn therapy. They made a datailed discussion on the bandaging technique and explained how to apply the bandaging technique in order to conform with the principle of moist burn therapy.

MEBT for Treating Deep Second Degree Burns

(Abstract)

Zhao Junxiang Yang Gnoming Lin Hathing Li Tianyu Yang Binghou Wang Hezhen Wang Shuo

(Nanyang Science and Technology Centre for Burns)

MEBT is a very effective therapy for treating deep second degree burns. It brings about a revolutionary change in the history of burn therapy. As the scope of the application of MEBT becomes wider and wider I many new problems are arisen. For lack of the knowledge of the pathological changes in the wounds, normal application of MEBT has been affected.

The authors summarized their experience with MEBT in treating 3800 cases of brun over a period of more than 8 years. The main points are as follows:

1. The vesicular skin of superficial type deep second degree burns should be preserved during early debriedement. Putrid skin in palm and planta of deep type deep second degree burns should be removed. Vehicular skin in wounds caused by poisonous chemicafs should be removed.

2. Superficial type deep second degree wounds should be treated with moist therapy. When the burn area is esceeding 50%BSA, the exceeding parts of the wounds may be treated with conventional exposed therapy, especially for wounds in four extremities. This will be favorable to the liquefaction and healing of the wounds and will reduce the absorption of toxic substance during simultaneous rejection of large area wounds.

3. improper use of moist therapy may result in:

(1) ununiform humidity in the wounds

(2) soft scab formation

(3) beau --dreg -- like change of the wounds

(4) maceration of the wounds

(5) hemorrhagic spot and ecchymosis in the wounds;

(6) edema in the wound edge and phlegmon around 1 the wounds, etc.

Once, any of the above stated phenomena occurred, dry therapy should not be used and MEBT should be applied in a proper way. Debriedement should be done to ensure normal liquefaction of the wounds.

Analysis of inpatient Burn Cases Treated in the Past Four Years in Chang n Prefecture

(Abstract)

Yang Yaochao

(People's Hospital, Chang n Hut Autonomous Prefecture,

Xinjiang Uygur Autonomous Region)

The author made an analysis of the patients treated in the hospital in the past four years and concluded that children below 5 years and adults at their working , age ranging from 20 to 40, are at the peak of burn incidence. This coinsides with the conclusion reported by Dr. Zhang Lin-clang and Yang Kefei, based on an analysis of 2076 cases. In the remote area where medical conditions are poor, MEBT can after all be accepted as a practical and effective means, especially for the recovery of superficial Znd degree burn of face. MEBT has aesthetic effect in treating such cases.

Methods for Dressing Change of MEBO in Treating Burns

(Abstract)

Liu Qiang

(Dept. of Burn Plastic Surgery, Hospital of Chinese Medicine,

Tie--ling City, Liaoning Province)

This paper reports the clinical experience with MEBO in treatrng burns of various kinds and introduced four methods for dressing change and their indications. Clinical data of typical cases showed that it is very important to select a correct method of dressing change in the application of MEBO.

A Survey of Nosocomial infection and Bacteria in the Granulation of Burn Wound

(Abstract)

Li Pingsong Wen Guoliaug Ma Li Zhou Rongfang

(Dept. of Burns, Affiliated Hospital, Yangzhou Medical College)

During the period from January 1988 to January 1992, 231 strains of bacteria in the granulation of burn wound (GBW) were isolated. Gram negative organ-- isms were predominant, accounting for 66.7% of the total. The predominant organisms were Pseudomonas aeruginosa, Staphylococcus aureus, Staphylococcus epidermidis and Klebsiella pneumoniae. Antibiotic sensitivity test revealed that predominating organisms were resistant to many commonly used antibiotics. The authors suggested that Amikacine and Nor- floxacine are suitable for local application in the granlation wounds. A survey of nosocomial infection of burn (BNI) in our hospital showed that the incidence of; BNT was very high. The bacteria in GBW was the main source of the organisms. Contact -- infection caused by medical and nursing workers and patients was one of the major paths of BNI. The authors pre- sumed there were such cycles: Bacteria in GBW come to the hands of medical and nursing workers and patients and then return to burn wound aqain.

Experience in Treating 94 Cases of Extremely Severe Burn with Fluid infusion

(Abstract)

Pu Zhibiao Wu Jiexiao Sang Zhaoxing

(Yanzhou Science and Technology Centre for Burns, Dept. of Burns, The 2nd Hospital, Yanzhou Mining Bureau)

94 cases of extremely severe burn were treated in our hospital, in the period from June 1989 to May 1993. Among them 45 were children, accounting for 47.87%. The authors summarized their experience and suggested that fluid infusion performed at a relatively high speed prior to 4 hours post--burn is very helpful for prevention of shock. The increase in microvascular permeability of burn area and remote parts of the body mostly occurs in & hours post--burn.

Early Diagnosis and Treatment of Burn Septicemia

(Abstract)

Ye Zhenwu

(Dept. of Burns, Dandong Railway Hospital)

This paper reports 18 cases of burn septicemia. Clinical observations revealed that geriatric and padiatric burns often had the shock stage not very smooth. Wounds were often invasively infected. Intolerance of cold, high fever, psychosis, abdominal distention, loss of appetite, Ieukocytosis or leukopenia, thrombocytopenia, high urea nitrogen level and acidosis often occurred. The patients should be treated timely with potent antibacterial drugs. The author discovered that septicemia at the early stage, was mainly due to cocoal infections, while septicemia at the middle or late stage was mainly due to bacillar infections. This provides a scientific basis for early diagnosis and treatment of burn septicemia.

47 Cases of Burn of Special Parts of the Body Treated with MEBO

(Abstract)

He xiulian Dai chaoshou

(Hospital of Chinese Medicine, Huzhu County, Qinghai Province)

47 cases of burn of special parts of the body, including eyes, face, perineum, buttock, mouth, esophagus, vagina and uterine neck were treated with MEBO. All the wounds healed. The results were very satisfsctory. MEBO is welcomed for its uniouA therapeutic effect. It is easy and simple to apply and requires no special facilities, and therefore, it is suitable for use in grass -- root medical units and in the home of farmers and herdsman.

MEBO for Treating Perineal Burns

(Abstract)

Hu Dongcai Wang Qingshun Song Guang

(Dept. of Burns, No. 422 Hospital of PLA)

Perineal burns are susceptible to infections because the position is hidden and the wounds are often contaminated by urine. The skin is folded. Follicles, sweat glands and sebaceous glands hsve excretions favorable to bacteria growth. Infected perineal burn wounds often resulted in deformity.

The authors treated 128 cases of perineal burn using MEBO. The results were very satisfactory. The merits of MEBO are as fOllows:

1. MEBO protects the wounds from contaminations.

2. MEBO promotes drainage and creates a condition favorable to the growth of surviving epithelial cells.

3. No need to perform escharotomy and skin grafting.

4. MEBO has good analgesic effect.

MEBO for Treating 50 Cases of Yellow Phosphorus Burn

(Abstract)

Xu Xisheng Wang Guangshun

(Dept. of Burns, Affiliated Hospital, Taishan Medical CoheRe)

The authors treated 50 patients of yellow phosphorus burn in the period from January 1991 to June 1992 and suggested different treating methods in four different periods. 1. The wounds were washed again and again with running water and were smeared with 1% silver nitrate. Phosphorus granules were removed in a dark room and 5% sodium bicarbonate solution was applied, in the period of the first 24 hours. 2. In the second 24 hours, the scab was removed and in special parts of the body skin grafting was performed. 3. In the thiEd and fourth 24 hours, after being skin grafted, the wounds were bandaged with chlorohexidine dressings. Phosphorus granules were removed from the true skin and fstty tissue. 4. In the fifth 24 hours, MEBO was applied in accordance with MEBT. All the patients healed without any complication.

15 Cases of Scald Treated with MEBO Using Decompression Bandaging Method

(Abstract)

Wei Yuyun

(Medical Team, Fire Fiatting Brizade. Yanqzhou City. Jiangsu Province)

In the period from October 1990 to March 1993, in the cold seasons, we treated 15 cases of small area scald with MEBO using decompression bandaging method. The results were very satisfactory. The treatment was very simple and easy to apply. No strict sterilization was needed. The patients could be treated without hospitalization.

Experience with MEBT in Treating 205 Cases of Burn

(Abstract)

Lin Jiayi

(People's Hospital, Fuchuan County, Guangxi Zhuang Autonomous Region)

205 cases of burn were treated with MEBT. The results were very satisfactory. This therapy had very reliable therapeutic effect. The healing rate was 98. 2%. The therapeutic course was short. The method was simple and easy it requires no special facilities The wounds healed without forming any scar. No functional disturbance occurred. MEBT had good antipyretic and antiinfective effects and promoted healing of the wounds.

Management of Burn Wounds by Early Application of MEBO and Preservation of Putrid Skin

(Abstract)

Wang Guangshun Xu Xisheng Lang Qingxue Wang Keqlang Lu Junmei

(Taian Hospital, China Science and Technology Centre for Burns, Wounds and Ulcers and Dept. of Burns, Affiliated Hospital of Taian Medical College)

278 cases of burn were treated in the hospital, during the period from April, 1991 to December, 1992. 130 patients ) in the first group, had putrid skin removed and 148 patients, in the second group, had putrid skin preserved. All the patients were treated with MEBO. A comparison between the results of the two groups wasmade. Bacteria culture of the wound surface was.done. The positive rate of the two groups was respectively 7. 5% and 12. 5%. The difference between the two groups had no statistical significance (P > 0. 05). Wound infection rate was respectively 4. 6% and 5. 4 %. The difference was also not static cafly significant (P>0. 05). But wound healing time was shortened for patients in the group with putrid skin preserved, as compared with that for patients in the group with putrid skin removed. The difference was of statistical significance (P>O. 05). The authors concluded that preservation of putrid skin and vesicuIar skin helps to diminish the irritation during smearing of MEBO and protects the wounds from further damage and contaminations and therefore, keeps the wounds clean and facilitates healing of the wounds. This method is recommendable.

Clinical Experience in Treating Burns Complicated by Chest Impact Injury

(Abstract)

Liu Hongmo Zhang Xiangqing

(People's Hospital, Dezhou Prefecture, ShandonR Province)

Body surface burn complicated by chest impacl injury is serious. It is seen during the explosion of vessels at high temperature, explosion of coal mine, explosion of gunpowder, etc.

The authors treated 14 patients with burn complicated by chest impact injury. 3 of them died. The authors summarized their experience of success anc lessons of failure. The patients had 2nd degree burr and complicated by severe lung injury. Most of thers had fracture of ribs, hemorrhage, pneumatothorax or contusion of lung. For successful treatment, it is important to timely observe the life threatening changes o f physical signs and find out the fatal pathological cause and take rescue measures and at the same time, to consider the management of the wounds. The authors made a discussion on the mechanism of the inJury of lung contusion.

109 Cases of Herpes Zoster Treated with MEBO

(Abstract)

Liang Min Zhao Gut ne He Huizhen

(The Znd People's Hospital, Datong City, Shanxi Province)

109 cases of herpes zoster were treated with MEBO, produced by Guangming Chinese Medicine Institute of Burns, Wounds and Surface Ulcers Research. 63 cases of the same disease were treated with erythromycin ointment. A comparison between the results of the two ointments proved that MEBO was superior to erythromycin ointment and worthy to popularize.

50 Cases of Angular Stomatitis Cured by MEBO

(Abstract)

Song Zhufan Wang Wengming Ying Fangqin Xia Lisha Xu Wei

(Central Hospital, Jiamusi City, Heilongjiang Province)

Angular Stomatitis is a common disease, especially in children. It is caused by infections. Topical treatment with medicines now commonly used in clinic, is not very effective. The drugs often have irritation effect on the lesion area and may cause discoloration and scab formation and even result in limitation of the mobility of the lips. The therapeutic course is often very long. The authors uged MEBO for treating 50 cases of angular stomatitis. The results were very satisfactory. The therapeutic course was shortened to a half. No irritation, no discoloration and scab formation occurred. The lips could move freely with out and limitation.

A Case of Refractory Large Ulcer Healed by MEBO

(Abstract)

Qiu Peiqing

(Hospital of chinese Medicine, Jiaxing, zheiiang Province)

A case with large ulcer in leg, not healed for 16 years, was treated with MEBO. The result was very satisfactory. The ulcer had an area of 7 cm x 11 cm and a depth reaching the periost. The patient was always in a state of low fever and could not walk.

MEBO was applied using semi -- exposed technique, in conjunction with systemic antiinfective treatment. After removal of necrotic tissue and periost, debriedement was done for the 2nd time, on the 12th day post--hospitalization and followed by trephination of bone cortex. MEBO was applied continuously. The patient healed in 95 days and was discharged. Follow --up observation for 7 months proved to have no recurrence.

The Nursing of A Case of Exceptionally Large Area Deep Burn Treated at First with Dry Therapy and Subsequently with MEBT

(Abstract)

Liu Xiaomei Xu Cheng Bat Yun Li Yingdong Du Yanbo Yan Xin Guo Huizhu Ru Lichao Xie Li Bi Li

(General Hospital, China Railway Construction General Corporation)

A case of exceptionally large area deep burn (burn area 85%, 3rd degree burn 63%, deep Znd de-t gree burn 20% and superficial 2nd degree burn 2%) was treated with conventional dry therapy for 3 days and then, the patient was transferred to our hospital and was treated with MEBT. All the wounds healed in 56 days without skin grafting. Clinical practice proved that MEBT is very effect-- tive for promoting epidermidalizational healing of large area wound of 3rd degree burn. This paper summars rizes the experience of the nursing work and proves 11 that effective, careful, sytematic and standardized n nursing measures are key to the success of the treatment with MEBT.

Nursing Experience in Treating 46 Cases of Geriatric Burn with MEBT

(Abstract)

Liu Ping Sun Dongxing

(Dept. of Burns, The 3rd People's Hospital, Xuzhou City)

This paper summarizes the nursing experience in treating 46 cases of geriatric burn with MEBT and suggested nursing measures for geriatric burn at the shock, infection and skin grafting stages, on the basis of the pathophy$1ological characteristics of the old aged. MEBT is considered ideal and reliable for treating geriatric burn from the angle of nursing practice.

The Efficacy of MEBO for Treating 85 Cases of Padiatric Burn Ren Yixian Li Jingmei Huang Qingshan

(Health Centre for Women and Children, Laiwu City, Shandong Province)

48 Cases of Burn Treated with MEBT Chen Congchao

(People's Hospital, Jiaojiang City, Zhejiang Province)

Clinical Analysis and Nursing of Small Area Deep Burn Patients with Mental Disorder Tian Jinlian Li Shuyi Tian Youlian

(The First Hospital for Workers and Staff Members, Lisohe Oil Field, Liaonint Province)

Clinical Analysis of 28 Cases of Padiatric Convulsions Pan Kaiyun

(People's Hospital, Zhangzhou City, Fujian Province)

A Case of Large Area Subcutaneous Gangrene Treated with MEBO Liu Rongqing

(People's Hospital, Jiyuan City, Henan Province)

Experience with MEBO in Treating Ulcers in Mucous Membrane of Mouth, Nose and Pharynx Wang Jiafu

(People's Hospital, Wuhe County, Anhui Province)

MEBO for Treating Atrophic Rhinitis Zhao Xiaoyuan

(People's Hospital, Nandan County, Guangxi Zhuang Auto nomous Region)

MEBO for Treating Hemorrhoid and Fistula After CO2 Laser Operation Ren Shine Guo Xihua

(Hospital of Ankang Railway Bureau, shaanxi Province)

MEBO for Treating Pigmented Nevus after Laser Operation Wu Guangyu Wu Guimei Huang Qingshan

(The 2snd People's Hospital, Laiwu City, Shandong Province)

A Large Decubital Ulcer Treated with Musculocutaneous Flap Transposition Wang Zhenhe (No. 139 Hospital, PLA)