目录

Clinical Evaluation Of Moist Therapy in Deep Face Burns

(Abstract)

Zhang Xiangqing Deng Binmin Chen Cunfu

Liu Jiefu Jiang Wenquan Yu Zhiqiu

Burn Center, 91 Hospital, PLA.

This paper mainly deals with experience of moist therapy in deep face burns. Compared with dry exposure, the moist therapy is characteristic with no armoured crust formating. no functional activity of the five sense organs interfering in early postburn stage. There weren't any dry splitting induced haemorrage and secondary infection. The time for necrotic tissue shedding was moved up. healing process can be observed directly. It was satisfactory for recovering of the five sense organs and face.

35 Day Rescue of A Case of Electric Shock and Large Area Electric Arc Burn

(Abstract)

Li Wendong Du Fuqin

China Science and Technology Center of Burns Wounds and Surface Ulcers

Qian Yunjian Duan yanfan Wen Chuan Shao Zhiwen

Medical Cent6r of Burns Wounds and Surface Ulcers,

China National Academy of Traditional Chinese Medicine

This paper deals with the experience of a 35 day rescue of a case of electric shock and large area electric arc burn and the lessons drawn . therefrom.

The authors conclude through analysis that the following are of great importance in the treatments. Additional amount of infusion containing equal proportions of colloids and crystals should be given to patients with electric shock and large area electric burn and early administrations of basic drugs and diuretics to maintain large urine volume are advisable. Attention should be paid to check the disturbance of the balance of electrolytes. Take early measure to prevent complications of injuries of the function of multiple organs and to support immunity. Ample nutrition supply is also indispensable.

The authors point out that persistent application of MEBO to deep burn wounds including third--degree burns will result in good healing with no or very few scars, as long as the doctors adhere to the principles instructed by the inventor of the MEBT and apply them correctly to their practice. Patients can be healed by applying MEBO to the erchars. Necrotic tissue is excised in a planned way. taking care not to injure the vital tissue during operation. The authors also point out that the performance of thorough debridement without discrimination of the cases is a point open to question. For patient of bad health condition with no distinct focus of infection. thorough debridement should be done only after deliberation. Because in such a case, debridement usually gives unsatisfactory results and the operation itself will make harm to the wounds and even make the condition worse. Unless the focus of infection is distinct, thorough debridement has its disadvantage outweighing its advantage. The authors suggest that the main cause of death of the severe electric shock may be tardy brain injury. Doctors should take precautions against it.

Initial Observation of Using MEBO on the Burn Surface after Autografting

(Abstract)

Xing Jun Zhang Zheng Guo Wei Zhang Kai Xing Jun Zhang Zheng Guo Wei Zhang Kai

Cui Guanghuai Han Xuede Xiu Hongmin Gai Weibin

Center of Research for Burn and Ulcer Wound, Biu Zhou Medical College

This article mainly describes the time and methodes of using MEBO on the burn surface after autografting. The growth and expanding of autografts has been observed in 6 patients. Authors recognize that MEBO has a promoting effect on the healing of burn surface and reepithel nation.

Experience on the Treatment of the Burn Wound Surface . with the Moist Exposed Therapy

(Abstract)

Pu Zhibiao Sang Zhaoxing Zhang Huaqin Wu Hiexiao

Yan Zhou Medical Center for Burn and Ulcer

Director: Yang Kefei

This paper reports 50 cases of burn. The oldest is 80 and the youngest is 10 months. The largest burn area is 66% (III 35%. The average is 11 .58% and the average of III is 2.84% All of them were treated with the Moist Exposed Therapy. 46 cases healed themselves, 3 cases were healed by using skin grafting, I case was healed slowly because of infection of the wound Surface. It is regarded as easy to be taken. economy and safety. It can be adopted under any conditions. Experience showeds (1 )The Moist Burn Ointment can well relieve pain. (2) It has great anti--infection., (3) It can promote the healing and reduce scarforming, early used, it can obviously shorten the course and reduce the rate of deformity. It is the best way to treat the burn Surface at present.

Clinical Analysis of 20 Cases of Burn Treated with MEBO

(Abstract)

Liang Daroug

Dept. of Plastic Surgery of Bums, Red Cross Association Hospital of Guangzhou

The author treated 20 burn patients with the Moist Burn Ointment (MEBO). invehted by Prof. Xu Rongxiang. All patients were healed except one with deep burn, submitted to operation. The author concluded that the MEBT has four advantages over the conventional therapy, namely it is capable of revitalizing the tissue of the stasis zone, promoting the healing of the wound. it is antiinfective with no spectral limitation, it leaves no scar for deep second--degree burns and it has marked analgesic effect. The author highly appraised the MEBO to be the most effective drug for topical use in the burn wounds.lt is worthy to be popularized to bring benefit to human beings.

Clinical Application and Observation of the Moist Exposed Burn Therapy

(Abstract)

Guo Wengpin A Keba Aa Li Mujlang

Department of Burn surgery First Amuated Hospital

Xin Jiang Medical Collepe of China

Report on the Moist Exposed Burn Therapy in Treating 15 Patients. Observation Show that Moist Burn Oinitment has analgesic, preventing infection. deep second--degree Burn to leave Scars checked the tissue progressive necrosis at early peroid. The Moist Exposed Burn Therapy is used easy widespread. This is new way for treating burn.

14 Cases of Burn Treated with MEBT

(Abstract)

Tong Huanyou

Dept. of Burns, Affiliated Hospital of inner Mongona Medical college

After studying the theory of the MEBT and 3 months of clinical practice. the author treated 14 burn patients and 2 patients with residual wounds. All patients were healed. The author confirmed that the MEBT has high efficacy, short treating course and is convenient to apply. It has analgesic and antiinfective effects and is capable of revitalizing the tissue of the stasis zone. The author pointed out that the MEBT has its incomparable advantages, but it is a new technique, it remains to be perfected through summing up experIence.

Clinical Experience with MEBT

(Abstract)

Lu Kaishao

Dept. of Burns, Zao Zhuang Hospital, Zao Zhuang Mining Bureau

This paper reports an all healed result of Moist Exposed Burn Therapy (M EBT) fro treating 180 patients with burns of various causes. A comparison of MEBT with conventional therapy for treating burns of particular parts of the body is also presented. The author concludes that MEBT is a new breakthrough in the field of burn medical science and is worthy of being popularized. It is widely welcomed because it is convenient. it does not demand any special medical facilities and can be conducted not only in large. wedequipped hospitafs but also in grassroot hospitafs and even in family wards. It is especiatly suitable for rescuing patients in large groups. This should arouse the attention of public health and medical administrations of various levels. The author appeals to doctors and officials to strive for the popularization of the MEBT to better serve the health and rescue the lives of the people.

Clinical Experience with MEBT

(Abstract)

Wei Guangshang

No. 107 Hospital of PLA

This paper reports 32 cases of various burns treated with MEBT. All patients were healed. The author realized that the MEBT has solved many difficult problems in the treatment of burns, namely, pains in the wounds, bacterial infections, scars left for deep second--degree burns and progressive sloughing of the stasis zone tissue. The MEBT also has the advantages of high efficacy and short treating course. It is the most advanced technique for treating burns now available in the world.

42 Cases of Burn Treated with MEBT

(Abstract)

Ma Shuauquan

1st Dept. of Surged, Affiliated Hospital of Shaanxi Traditional Chinese Medical College

42 burn victims (8 inpatient and 34 outpatient) were treated with MEBT. Except for one who went home with MEBO to be used by himself. All the 41 cases were healed. The author confirmed that the MEBT has the advantages of no pain in the wound. no infection, effective drainage. promotion of granulation and skin growth. simple and convenient for application. high efficacy and low cost. Discussions were also presented.

Experience with MEBT in Treating Burns

(Abstract)

Liu Xincai

No.2 People's Hoistal. Wushun City

The author pointed out that conventional therapy of burns has its drawbacks of high disablement rate and pains in the treatment. The results of 106 cases of burn treated with MEBT proved that the MEBT has good analgesic and antiinfective effects. It revitalizes the tissue of the stasis zone, promotes healing of the wound. No scar is left for deep second--degree burns. The therapy has very high efficacy and low disablement rate and is very convenient to apply. What remains to be improved is that the healing period for third--degree burns is rather long and the ointment is apt to be wiped away by child patient.

100 Cases of Burn Treated with MEBT

(Abstract)

Wang Yangfen Yu Hanyou Wang Weitang

Burn Branch, No.5 Municipal Hospital, Harbin

A group of 100 burn patients were treated with MEBT and another 100 burn patients were treated with sulphadiazing silver according to the dry exposed therapy. A comparison of the two groups had been made. The results revealed that the MEBT has its advantages of no injury on the wound, no blood bleeding. easy observation, function of the joints unaffected. good analgesic effect. quick subsiding of the swelling, strong gntiinfective effect. short healing time. no scar or very few scars for deep burns. revitalization of the satsis zone tissue. It is easy to be popularized and suitable for use both in war time and in peace time to rescue large groups of patients. The MEBT has its advantages that dry exposed therapy and sulphadiazine silver method can not match with. The authors also pointed out its drawbacks. The ointment always makes the beddings stained and the smearing of the ointment for many times is quite boring.

Clinical Analysis of 61 cases of Burn Treated with Burn

(Abstract)

Yao Shthong Huang Xiaohui

Dept. of Burn Plastic Surgery,Yichun Prefedsre Hospital, Jiangxi Province

61 cases of burn had been treated with MEBT to give satisfactory results. The authors confirmed that the MEBT has thd advantages of having analgesic and antiinfective effects, leaving no scar for deep second--degree burns. revitalizing the stasis zone tissue and high efficacy. It is easy to apply and the course of treatment is short. It does not demand large amount of investment and is suitable to medical units of all levels and even family wards. It lightens the financial burden of the patients and best suits the realities of our country. MEBT will make greater contribution to the revolution and development of burn medical science in our country and in the world. as it is fruther popularized.

Clinical observation on 46 cases of Burn Treated with DEBT

(Abstract)

Liang Weixiong Wu Heping Zhang Zhihua

Instructor: Zhang GuangZu

2nd Dept. of Surgery, Hengyang Hospitsl of Imtegrated Traditional

and Western Medicine, Hunan Province

Since May 1989. we began to treat burn patients with MEBT. Among 46 inpatient burn cases, one with total burn area 85% third--degree 64% acute kidney failure on the next day. died of multiple organ failure on the 4th day. Total Curative rate amounted to 97.8% (45/46).

The authors conclude:

1, For good healing of the wounds, it is very important to keep the wounds covered with the ointment all the time and to clear away the liquefied material timely.

2, The ointment has good analgesic effect.

3. Its antiinfective effect is also good.

4. Patients treated with MEBT have only small amount of liquid evaporated, the amount of infusion they need is smaller than that of those treated with conventional therapy.

Report on APPncation of the Moist Burn ointment to Treating Five Patients with the Bones Exposed Patients with the Bones Exposed

(Abstract)

Zhao Yulian Hong Sitong Chen Shirui Liu Ying

Burn Section of Ben Cang General Hospital

The article deals with the treatment of five burn patients wfith the bones exposed in 1989 in our hospital. They were respectively burned by steel water, electric arch, glacial acetic acid.petrol fire and press of heated bric bed. Their bone exposed areas ranged from 0.3 x 0.6 to 6 x 4 cm2. After 25--143 days after burning. they were treated with the Moist Burn Ointment. 10 to 40 days after, the wounds healed. The ointment was proved to be effective in treating the bone exposeed wounds of small area.

Patients with Complications of Post Breast Cancer Radical Operation Treated with MEBT

(Abstract)

Li Wendong

China Science and Technology Center of Burns wounds and Surface Ulcers

Wang Peishen

Nanyang Science and Technology Ceaser of Burns Wounds and Surface Ulcers of China

According to the theory advanced by Prof. Xu Rongxiang that burn wound is a combination of all kinds of trauma and Surface ulcer......, we attempted to apply the MEBT and the drug MEBO to patients with complications of post breast cancer radical operation. 26 patients were cured. The efficacy was very amazing. The treating course was shortened and pains were greatly alleviated. The outcome of the patients was obviously better than that of those treated with debrideementthf and skin grafting according to the conventional method. No scar or very few scars were left. The appearance and the elasticity of the tissue were very good. This result means that a new approach to the treatment of complications of post breast cancer radical operation had been established to replace the only conventional method that had been applied for many years and the repair of radiation ulcer with myocutaneous flap, long considered as a routine treatment, could also be replaced by this new method. The clinical usage of the MEBT had been broadened. The authors pointed out that a wound with full thickness necrosis similiar to a third--degree burn treated with MEBO after excision of the necrotic tissue would form apale circular membrane of fibrous soft scab, like a fibrous ring, over the wound. and this membrane will hinder the healing of the wound and should be excised timely to ensure a good result.

The APPlication of Combined Skin Grafting Method to Repairment of Wounds

(Abstract)

Zhang Guizhe

Dept. of Burns, Qiuhuangdao No.1 Municipal Hospital

In the repair of large and deep wounds with bone exposed, neither free skin graft nor myocutaneous flap alone could be used to cover the wound. To solve this problem, combined application of free skin graft and myocutaneous flap at the same time to the same wound is recommended. This method is called "combined skin grafting method." We applied this method to three patients. The results were very satisfactory. You might as well try it.

Repair of Foot Soft Tissue Defect with Posterior Tibians Artery Retrograde Island Flap

(Abstract)

Song Jixue

Dept. of Microsurgery, Central Hosoital of Siping City

Four patients with large area foot soft tissue defect were repaired using posterior tibialis artery retrograde island flap. All patients were healed. Three of them suffered from injuries of plantar artery arches. the blood supply to the flaps was from the collateral circulation rete of the ankle. Follow--up observations confirmed that the appearance and the functioning of the flaps remained in good state and sensory function was recovered.

The advantages and essential points of the operation were summerized.

Experience of the Treadment of Large Skin Tearing Impairements

(Abstract)

Wang Daxiong Xu Skaoting

The General Hospital of Beliing Military Region

The tearing impairements of the skin are a very complex injury. because it is complicated with other injuries and needs special treatment. From January. 1974 to October. 1987 we have treated 38 patients suffering such injury. According to its aetiology and pathological changes, we have divided it into four categories :

1. The merely rending injury. Its typical man ifestation is that the big pieces of skins down to the superficial stratum of fascia profunds are ripped off, but the deep muscles and tendons are intact.

2. The ripping injury occult in the skin. No cut or only a small cut appears on the skin, but the skin, subcutaneous tissue and fascia profunda are devitalized, the cavity cracks are formed underneath. with the extensive subcutaneous haematoma. These two types of impairments often occur in traffic accidents. The latter can be complicated with different degrees of injuries of joints and other tissue.

3. The injury resulted in complete deprivation of the skin, caused mostty by machines and seen often of the upper limbs.

4. The tearing injury causing the loss of the skin complicated with severe injuries of other tissue and joints. The injury is often triggered by high speed vehicles or heavy trucks, and sometimes by heavy machines. There has been one patient suffering this type of injury. complicated with traumatic shock. four with their muscles and tendons injured and two, one having the skull injury, another nerve injury.

The treatment

The amputations were done on three patients.suffering severe injuries. One received direct suture and one the full-thick ness skin graft. One was treated with the closed drainage and partial thickness skin graft. The other 28 patients re. ceived partial thickness skin graft made by drum--like skin cutter from the uninjured part after the devitafized skins had been resected. The additional partial thickness skins were obtained from the marginal good skins to close the uncovered parts. Critical to the treatment of these injuries is the thorough debridement. In treating the fourth injury importance should be attached to the antishock and the timely reconstruction of the injured joints, aided with the reliable inner fixation. and some exposed joints should be covered with good Cutaneous tissue. On the skins grafted. holes were poked to ensure a free drainage. After the operation the injured parts were fixed with plaster. Treated this way three patients received amputation on their legs. 18 patients recovered the first stage (More than 90 percent of the grafted skins survived). 7 the second stage (More than 70 percent of the grafted skins Survived. needing additional grafting skin of small area or new. medications). 6 the third stage (less than 70 percent of the grafted skins survived, needing additional skin grafting.)

Ultrastructural Study of Staphyloccocus Aureus being Acted by S--102 Herb Prescription

(Abstract)

Lu Su

Guang An Men Hospital China Academy of Traditional Chinese Medicine

Director: Wen Chuan Chen Hueishen

This paper reported the ultrastructural changes of staphyloccocus aureus after the action of S--102 Herb Prescription (S--102 HP) under tra nsmission electron m icroscope.

It was observed at minimal inhibitory concentration (MIC) that after the action of S--102 HP. the cross wall of the bacterial cells became of pearl--like chain. incompact connection, and the granulous outline of the electron density in the cytoplasm was blurred. At eight times MIC. the following changes were observed.

The thallus was deformity and the degree pf thickness of its cross wall was difference, The granules of the electron density in the cytoplasm became flocculation or balloid and appeared the nucleoid aggregation. The distributing of the granules was not even. There was bigger mesosome in the thallus. Some cells were dissolved and had not normal phases of the division, The stages of the reproduction and the resting of the cell all had changes in varying degrees. This paper also approached the mechanism of the effect of S--102 HP.

Changes in Blood Coagulation and Fibrinolysis at the Shock Stage of severe Burns and Their Clinical Significance

(Abstract)

Zhang Xiangqing Wang Yongwu

Dept. of Burns, No.91 Hospital

Clinical criteria of blood coagulation and fibrinolysis at the early stage of 38 cases of severe burns had been examined. The results revealed that burn patients had their blood platelet count markedly reduced．prothrombln time and thrombtn time prolonged and flbrlnogen content and the Positive rate of protamine paracoagulatlon test（“3P” test） and alcogel test Increased． as cornared with the normal controls，but the result of euglobulln lysis test did not change slgnlflcantly．

The 38 patients were classifed into two groups．according to the degree of their burns：21 patients with third—degree burn and l7 without． Their average burn Inctices were 53.9+18.5 and 30.6土1O，4 respecdvey．The difference between the two groups was of statistical slgnlflcance（P＜0.O1）．

The results of the tests reveafed that patients with third—degree burns had more slgnlflcant reduction in the count of blood platelet．greater flbrlnogen content and greater increase In the positive rate of”3P”test and alcogel test than patients without third—degree burns had difference between the two groups was statistically significant（P＜0．05 or P＜0．01）．

Furthermore，7 of the patients with third—degree burns had complications of disseminated Intravascufar coagulation（DIC）．

All these results ledtotheconcluslonthatthe changes In the clinical crlterla of blood coagulation and fibrinolysls at the early stage of burns became more obvious as the case became more serfous．