目录

An obaepvattion of ELectromicroscopy on Deep Burnt wound Surface Treated with MEBO

(Abstract)

Zhao Yullan Wang Yang Sun Ylquu Chen Shlrui

Wang Shopfeug Hung Min Li Lian Tuo Zhaohui

(Department Of burns, General hospltsl of Ben--Xi Iron & Steal complex

From March 1994 -- November 1994,the authors reported 12 cases treated with MEBO for deep burn wound surface:chest, back, arm, leg and feet. These total burn surface area were from 2%-98%,All cases pro/post therapeutic period get biopsy for optical microscopy and electroffiioroscopy & photographY. The cell of collagen fiber, fibroblast, and mast cell differed from the observation a routine treatment of burns which reported in reported in domectic and forigh literature.

In this Paper, the authors indicated that MEBO made no hypertrophic scar formation in short term follow up survey.

The Experimental Study on Three--dimensional Architecture of Microcirculatory. Vessels of Human Skeletal Muscle

(Abstract)

Bai Shutling Gao Jie

(Dept. of Anatomy ,C.M.U.Shenyang , Liaoning Province )

The morphological characteristics of microcirculatory vascular three-dimensional architecture in biceps muscle of thigh, semimembranous muscle, semitendinaous muscle and gracilis muscle of human body were studied by observation of the vascular casts under scanning electron microscope. The regulation on microcirculatory vascular architecture of human skeletal muscle was also revealed.

We found that the three-dimensional muscular microcirculatory vessel framework was formed by crisscross and overlapping of microcirculatory vessels.

There were not only many parallel and circular microvascular networks in the skeletal muscle but also a lot of vascular loops, loop-like vascular plexus, vascuar networks in concentric circles and fithnet-like networks. They differed from each other in shape and formed a unique intramuscular microcirculatory vascular network.

Progress in the Application of Drug and Knife Combination Technique in Treating Large Area Third Degree Burns

(Abstract)

Yang Kefei*Han Yi**Yang Qi***

(*No . 202 Hospital , Shenyang Military Region, Shenyang)

(**Hospital for Staff and Workers , Qianbu Refinery, China Petrochemical Corporation)

(***Dept. of Burns, Hospital of Armed Police, Liaoning Province)

The authors compared the application of drug and knife combination technique in treating large area third degree burns, during the period from July 1989 to July 1992 and from September 1992 to September 1994, and found that during the later period, this technique had been improved and the efficacy of MEBT with drug and knife combination technique had been promoted. A statistical analysis of the clinical data of the mortality, healing rate, hospitalization time, shock incidence, systemic infection, etc. revealed that MEBT when applied in conjunction with drug and knife combination technique ,its efficacy is greatly enhanced.

Observation of Microcirculation in Nail Folds at the Recovery Stage of Burn Wounds

(Abstract)

Cui Tonglin Wang Baowa

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

13 cases of nail fold burn were treated with treated with MEBT. At the early recovery stage, microangiographic examinations were done using a WX-6 model. multiple position microcirculation video mat. The observation included morphology of the vascular loops. The results proved that MEBT is beneficial to the healing of the wounds and the repair of microvessels.

The instrument can only examine the microcirculation at the nail folds and our clinical experience in this field is limited , we urge that clinicians pay attention to the research on the fundamental field , in order to provide further theoretical evidence of the effect of MEBT on burn wound healing.

Invasive Systemic Infection in Patients with Severe Burn

(Abstract)

Huang Jinghua Wen Guoliang Ma Li Zhou Rongfang Liu Sen Li Pingsong Liu Yifeng

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

From January 1981 to October 1993,3,427 burn patients were treated in our department. Among them 136 cases were complicated by invasive systemic infection. Clinical analysis of the complicated cases revealed that the following factors are responsible for the decrease in the incidence of invasive systemic infection:

1.Effective prevention and treatment of severe comlications such as shock, etc.

2.Effective wound management to reduce wound infections and timely excision of eschar and performance of skin grafting for deep burn wounds

3.Improving the systemic condition of the patients and rational use of antibiotics.

An Improved Method for Vein Incision

(Abstract)

Guo Wenping Akbar

(Dept. of Burns, The First Affiliated Hospital , Xinjiang Medical College)

22 burn patients had to perform vein incision because of shock . After failure of percutaneous puncture, the vein was exposed using a trocar and vein puncture was achieved without distal ligation. Permanent blocking of part of the vein was avoided. The higher the ligation position the more the vein blocked.

Application of Moist Therapy in the Treatment of Burns

(Abstract)

Kang Bingshan

(First Aid Centre of Beijing Capital International Airport)

Through study and analysis of 9 cases of burn, a conclusion is drawn in this paper that moist exposed burn therapy is the most ideal way in curing burns in hospitals and clinics at grass-roots level.

9 patients, aged from 18 to 61, had 14 burn wounds with the latgest burn area of 42%BSA and second degree burn area of 28%BSA. 8 of them were treated with and healed by moist exposed therapy and 1 of them after 9 days of treatment, transferred to another hospital on his own will.

The author believes that moist therapy is a practical. economical and reliable way in the treatment of burns under various operational conditions. Besides these advantages, the moist therapy is also very effective in relieving pain , avoiding infections. healing up wounds. decreasing the possible scar to minimum, shortening the time required for the treatment and reducing deformity caused by burns.

To the demergency rescue operation(eg. for air crash), which will deal with a large number of the wounded , moist exposed therapy has even greater significance.

Experience with MEBT in Treating 80 Cases of Large Area Burn and Shock

(Abstract)

Li Tianyu Zhao Junxiang

Yang Binhou Jiang Hong

(Nanyang Centre for Burns, Wounds and Ulcers, Henan Province)

80 cases of large area burn complicated by shock were treated with MEBT. The treating course is described as follows:

1.No pain , pain shock was avoided.

2.Wounds were covered with MEBO. Water evaporation was reduced.

3.Wounds were kept in moist environment with no further infury to the wound.

4.Microcirculation was improved and shock was easy to correct. Fluid infusion volume wascalculated according to the formula:

For adults:Burn area%X body weight(Kg) X 1.6+2500ml

For children :Burn area% X body weight(Kg) x1.8+ body weight(Kg) X100ml

In the first 24 hours, colloids:crystalloids=1:1. In the second 24 hours , colloids: crystalloids=1:2.1/4 of the total infusion volume was infused in 2 hours post-burn. 1/2 of the total in 4 hours post-burn andother 1/2 was infused uniformly in the later 16 hours.

Patients with slight and moderate shock tided over their shock stage smoothly. Patients with severe shock had to enlarge their blood volume by infusing 20 to 40 ml/kg of normal saline. After correction of shock, fluid infusion was carried out according to the above stated formula in 24 hours post-burn. After 24 hours post-burn, the infusion was carried out according to the formula. For adults, urine outjput was kept above 100 ml /hour and for children 30 ml/hour. Hematocrit was kept below 50%.Timely and rapid infusion is key to the success of shock treatment . Early administration of 654-11, cimetidine and compound red sage root is beneficial to protection of organs from free radical damage and promotion of the efficacy of antishock measures.

The authors also introduced their experience in correcting acidosis and improving microcirculation.

760 Cases of Burn Treated with MEBT

(Abstract)

Sun Yaopu Wu Jianzhang

(Feixiang County Hospital , Hebei Province)

760 cases of burn were treated with MEBT. Among them, 436 cases had superficial second degree burn, 228 cases had deep second degree burn and 96 cases had third degree burn. The healing rate was 99%. The results were very satisfactory. MEBT had very good analgesic ,antiinfective and wound healing promoting effects. No scar or very little scar formed for deep second and superficial second degree burns. This therapy is easy and simple to apply and requires no strict sterilization. It is suitable for use in grassroot medical units.

Analysis of Outpatient Application of MEBO for Healing Burn Wounds

(Abstract)

Lu Minkang

(Hospital of Chinese Medicine , Lianyungang City, Jiangsu Province)

MEBT is a new burn therapy now widely applied in many hospitals in China. The author observed the course of burn wound healing and analyzed the reasons of the prolongation of healing time of some burn wounds. The author concluded that proper application of MEBT and MEBO is key to early healing of the wound. Patients should be advised touse MEBO under the direction of their doctors.

Clinical Experience with MEBO for Treating Residual Burn Wounds

(Abstract)

Chen Shen Cheng Huaizheng Huang Yulun Guangsi Wang Fuqin Chen Juan Xu Bin

(Dept. of Burns and Plastic Surgery, Zhanjiang Central People's Hospital, Guangdong Province)

Burns treated with dry therapy always had residual wounds, whick often ulcerated repeatedly and were very difficult to heal. At the later stage of dry therapy, the general condition and immunologic function of the patients were poor. The bacteria in the wounds became resistant to antibiotics. The survival rate of skin graft was low. All these had become difficult problems in burn therapy.

The authors treated 36 cases of residual burn wounds using MEBO. The healing rate was 98%. The results were very satisfactory.

Mixed Degree Burns Treated with Drug and Knife Combination Technique

(Abstract)

Li Fengchun Yang Shuguang Cai Yulan

(No.322 Hospital , PLA)

In the application of MEBT for treating mixed degree burns, drug and knife combination technique is very helpful . The drug is MEBO and the knife is a rolling knife. Patients can be treated on bed in their wards without being anaesthetized . The patients had no pain and no bleeding . Necrotic tissue and crust could be removed successfully. A comparison between the results of patients treated with MEBT in conjunction with drug and knife combination technique and those treated with MEBT alone revealed that drug and knife combination technique is helpful in preventing infections. reducing skin grafting rate and shortening healing time. The difference is very significant(P<0.001).

The Analgesic Effect of MEBO Used After Anal Operation

(Abstract)

Xiao Mo Lai Ziwen

(Hospital of China Railway Construction General Corportation)

MEBO was used after anal operation. Its analgesic effect was compared with the effect of vaseline gauze. The results proved that MEBO had good analgesic effect and promoted wound healing . It is an ideal remedy to be used after anal operation.

MEBO for Treating Eyes Burned by Athelets's Foot Lotion

(Abstract)

Huang Qingshan Zhu Bin Su Boping

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

Mistakenly drop athelets's foot lotion into eyes may cause severe burn of conjunctiva and cornea and affect eye -sight. MEBO can be used to lessen corneal nebula and promote visual acuity after healing.

This paper reports 10 cases of eye burn treated with MEBO. All the patients healed. The average healing time was 15.5+11.7 days. Average visual acuity was 5.14+0.13. During the same period , 8 patients of eye burn were treated with chloromycetin eye drops and erythromycin eye drops. The average healing time was 20.1+10.1 days and average visual acuity 5.0+0.15. A comparison between the efficacy of MEBO and the antibiotics revealed that MEBO is superior to the antibiotics revealed that MEBO is superior to the antibiotics in shortenig healing time (P<0.01) and promoting visual acuity (P<0.05).MEBO also has the advantages of subsiding local inflammation and maintaining corneal transparency.

MEBO for Treating Auricle Burn and Preventing Ear Chondritis

(Abstract)

Pu Zhibiao Zhou Lijie

(Dept. of Burn and Plastic Surgery , the 2nd Hospital, Yanzhou Mining Bureau)

The incidence of ear chondritis after auricle burn is very high, It is difficult to heal. The authors used MEBO for treating 43 cases of auricle burn involving 40 ears. No complication of chondritis occcurred. Proper application of MEBO is key to the success of the treatment and the prevention of chondritis. A discussion on the factors causing chondritis and the problems in conventional therapy is presented.

MEBO for Healing Finger Stump Complicated by Acute Phlegmona

(Abstract)

Lei Zhenfu

(The 3rd People's Hospital,Zigong City , Sichuan Province)

MEBO was used for treating a patient with third degree burn in right hand and amputation of fore finger, middle finger, fourth finger and fifth finger and complicated by phlegmona in stumps. The patient healed without reamputation. The function of the thumb of the right hand was preserved . Skin grafting was avoided. The wounds healed in 30 days without scar formation . MEBO had good analgesic and antiinfective effects. It created adequate drainage, improved localmicrocirculation and promoted wound healing.

Perioperational Period Management of 47 Cases of Severe Electric Burn

(Abstract)

Qi Shunzhen Liu Jianchun Sun Zhigan

Lin Hongwu Zhu Yufeng Yu Qingxin

Tao Baijiang Fan Guoqing

(Dept. of Burns, International Peace Hospital Named After Dr. Norman Bethune)

From 1973 to 1991, 47 cases of severe electric burn were treated in the hospital . Perioperational management was very important which included:

A.Before operation:1.Electrocardiographic examination . Those who had abnormal electrocardiogram had to be treated to avoid accident during operation .2. Resuscitation infusion should be performed early and the infusion volume should be performed early and the infusion volume should be more than that for thermal injury of the same area. 13 patients with shock had fluid infusions. The total amount of fluid infused in the first 24 hours was calculated according to the formula:Burn area(%)Xbody weight(kg)X5 to 7 ml. 3.Decompression fasciotomy should be performed as early as possible. On one hand, pressure could be reduced, and on the other hand, observation of the vitality of deep layer muscular tissue could be made to preserve the length of the extremitles to the graeatest extent.

B.During and after operation:1.Prevention of secondary hemorrhage and suggestion of preventive measures. 2.Before amputation , careful consideration and precaution should be taken. Those who had whole limb necrosis and unrepairable damage of the tissues and severe infections which were life-threatening should be subjected to amputation as early as possible . Those who did not have life-threatening or unrepairable damage should not be subjicted to amputation. Measures should be taken to preserve the limb and to promote recovery of the function . If the stump was short , transplantation of limb could be performed.

MEBO for Treating Defect Due to Infective Large Area Skin Necrosis

(Abstract)

Su Daoxiang

(Dept. of Surgery , Weeping Willow Hospital , Beijing)

24 cases of infective Large area skin necrosis and defect were treated with MEBO. The results were very satisfactory. The defect and necrosis included dnecrotic fascitis, diabetic ulcer, necrotic skin infection due to prolonged administration of hormone, decubital uscer, etc . These diseases are difficult to cure.

Clinical Observation of 33 Cases of Atrophic Rhinitis Treated with MEBO

(Abstract)

Feng Lianyin

(Dezhou Municipal Hospital , Shandong Province)

Sun Helin

(Dezhou Prefectural Hospital, Shandong Province)

33 cases of atrophic rhinitis were treated with MEBO. 19 cases were cured, the curative rate was 57.6%.10 cases were effectively improved , accounting to 30.3% and 4 cases were improved , accounting to 12.1%. The total effective rate was 100%.

MEBO prevented water epavopration of the lesion area and had antiinfective effect. It promoted tissue repair. It is very efficacious and easy and simple to apply. It is worthy to be popularized.

Experience with MEBO in Treating Herpes Zoster

(Abstract)

Wang Weillin

(Fire Fighting Brigade of Armed Police, Hefei City, Anhui Province)

Herpes zoster is a common disease. It usually takes 2 weeks to cure, Dark pigmentation forms after healing and takes 6 to 12 month to recover. The author treated 24 patients with herpes zoster involving 36 wounds, using MEBO. After application of MEBO, pain was relleved and the wounds healed in 2 to 4 days. MEBO is very easy and simple to apply. It is welcomed by the patients.

Clinical Observation of 68 Cases of Plateau nasal Septal Erosion Treated with MEBO

(Abstract)

Fan Xinhai

(Dept. of burns, Fire Control Hospital of Qinghai, Xining City, Qinghai Province)

68 cases of plateau nasal septal erosion were treated with MEBO. The results were very satisfatory. MEBO had no toxic and side effcets. It improved microcirculation and promoted epitheliallzation of the wounds. MEBO is easy and simple to apply and has very good efficacy for treating plateau nasal septal erosion.

MEBO in Combination with Wide Spectrum Irradiation for Treating Decubital Ulcer

(Abstract)

Dou Lingrong Liu Suqin

Huang Yun jiang Fang Donghai

(Traumatic Surgery Centre, Kunming General Hospital , Chengdu Military Region)

22 cases of decubital ulcer with 27 lesion areas were treated with MEBO in combination with wide spectrum irradiation, using a WP- Therapeutic instrement . The average healing time was 14 days.The results were very satisfactory. The patients suffered from paraplegia and complicated by decubital ulcers. Method of treatment:

1. Local debriedement .2.Irradiation using WP-Therapeutic Instrument ,2 to 3 times a day 30 minutes each time. 3. Smearing of MEBO directly on the wounds using a spetula to a thickness of 0.3 to 0.5 mm, 2 to 3 times a day.

MEBO in combination with wide spectrum irradiation is very effective for treating decubital ulcers. MEBO promotes blood circulation and improves nutrition supply . Therefore it enhances local resistance against infections and promotes granulation. Wide spectrum irradiation improves local blood circulation and promotes metabolism and thus it promotes healing of the wounds.

Carbon Dioxide Laser Combining with MEBO for Treating Cervical Erosion

(Abstract)

Meng Li

(Hospital of Integrated Chinese and Western Medicine, Qingdao City, Shandong Province)

62 Cases of Cervical erosion were treated with CO2 laser combining with MEBO.The curative rate for one course was 98.3% and the average healing time was 29.9% days. Compared with control group, in which the patients were treated with CO2 laser alone, the curative rate was significantly higher and the healing time shorter. These results suggest that CO2 Laser combining with MEBO be more effective than CO2 laser alone for treating cervical erosion.

Nursing of 160 Cases of Craniofacial Burn Treated with MEBT

(Abstract)

Guo Qin

(Affiliated Hospital. Shannxi College of Traditional Chinese Medicine)

This paper reports our nursing experience in treating 160 cases of craniofacial burn with MEBT. General nursing work, nursing of five sense organs and psychological ursing are presented in detalls. A new nursing method for face skin is described.

Nursing Work in Applying MEBO After Face Planing

(Abstract)

Gong Pixin Chen Yushe Xue Yazhuo

(Affiliated Hospital of Taishan Medical College)

46 patients after face planing were treated with MEBO. MEBO had the advantages of reducing exudation. stopping itching, subsiding inflammation, shortening healing time and reducing scar formation. Good nursing work played an important role in promoting the repair of the wounds.

MEBO Applied to the Granulation Wound of Burn After Skin Grafting

(Abstract)

Long Jianhong Ma Enqin

Liu Fazhu Li Jinhe

(Dept. of Burns and Plastic surgery, the Affiliated Xiangya Hospital, Hunan Medical University)

54 cases of burn were treated with MEBT. MEBO was directly used to the granulation wounds after skin grafting. Clinical and histopathological observations were done and revealed that the skin graft on the granulation wouns multiplied and enlarged quickly. The number of fibroblast or fibrocyte in the granulation tissues of MEBT group was much fewer than that of non-MEBT group and proved that MEBO is beneficial to the enlargement and the survival of skin graft. It is probalbly capable of restraining the multiplicaton of fibroblast.

Adjacent Scalp Cutaneous Flap for Repairing Head Deep Electric Burns at the Early Stage

(Abstract)

Zhou Rongfang

(Dept. of Burns , Affiliated Subei People's Hospital of Yangzhou Medical College)

16 cases of head deep electric burn with cranial bone exposed were treated by plastic surgery. The necrotic scalps were removed in 2 weeks after burn. The necrotic out-layer of cranial bone was chiseled were repaired by the adjacent single or double pedicle falp plus skin graft of medium thicness. The results were satisfactory. In this paper, the characteristics of electric burn and the method and effect of the repair of the wounds are discussed.

Selection of Operation Technique for Treating Half Facial Atrophy

(Abstract)

Chen Cunfu Zhang Zhihua

(No. 91 Hospital. PLA)

This paper reports the application of plugging technique ,using thoracic triangle skin flap with pedicle preserved and distal epidermis removed for treating 3 cases of severe half facial atrophy. The results and long term effect were very satisfactory.

List of Articles Published in Brief

9503011

Experience with MEBO for Treating 57 Cases of Burn/Tang Changjun Liu (Dept. of Surgery, Fire Control Hospital, Chengdu City)

9503012

Treatment of 2 Cases of Geriatric Burn Complicated by Digestive Tract Hemorrhage/Wang Shiyou(No. 364 Hospital, Xiangfan City, Ministry of Aeronautic and Astronautic Industry)

9503013

The Application of MEBO for Treating Residual Burn Wounds/Lu Boqing (People's Hospital , Pingxiang City)

9503014

36 Cases of burn treated with MEBT bandaging Method at the later stage/fan fuli hu yinshan (Dept.of burns, people's hospital , longkou city, shandong province)

9503015

2 cases of drug induced exfoliative dermatitis healed by MEBO/ Guo jinlong sun ruiling(Dept. of surgery, No 148 hospital , Zhoucun zibo city, shandong province) wang xingchuan(Dept. of Surgery, hospital of yanzhou mining burneau, shandong province)

9503016

2 cases of pediatric exfoliative dermatitis Healed by MEBO/Xie Fuping (The 1st hospital , huaihua prefecture , hunan province) Wu yiping (Medical science and technology achievements spreading station, huaihua prefecture , hunan province)

9503017

2 cases of drug induced scrotal dermatitis healed by MEBO/Qu youchu chen chunfang(Hospital of chinese medicine, Dayi County, sichuan province)

9503018

A case of engman's Disease Healed by MEBO/Wang shuhui ding wei (Taihe District Hospital, Jinzhou City)

9503019

100 Cases of Trauma with Bone Injured Treated with MEBO/Gao jun (Dept. of Orthopedics, Hejian Municipal Hospital , Hebei Province)

9503020

A Case of Balanus ulser healed by MEBO/Sun Weidong (Dept. of surgery, tiantange hospital, beijing)

9503021

A case of prepuce inner table abrasion healed by MEBO/Zhang Junwei Gao Guiyin wu guangjin cheng xinmin( Hospital of the 4th Department of the 13th Bureau of the ministry of railways)

9503022

A case of Duodenal bulbar ulcer healed by oral administraton of MEBO/Lu yugao liu peng(Hospital of cotton and knitting mill. taian city, shandong province)

9503023

11 cases of pediatric nasoseptal mucosa erosion healed by MEBO/Yan Henping( People's Hospital, Xinhuang County, Hunan Province)

9503024

The application of MEBO after CO2 laser photocoagulation of inferior trubinate/Huang qingshan wu guangyu (the 2nd people's hosptial, laiwu city, shandong province)

9503025

A Cases of intestinal external fistula healed by moist therapy/li fengxiang(Dept. of surgery , cang county hospital , hebei province)

9503026

A case of scorpion powder induced kobner's disease healed by MEBO/Xu Shu (Research institute of Burns and plastic surgery, jingmen city)