目录

The Difference In Therapeutic Outlook Between Moist And Dry Burn Therapy In Respect Of Methodology

(Abstract)

Gao Buyin

(Medical Team, Fire Fighting Brigade Of Armed Police, Zaozhuang City )

The principle of treatment of moist burn therapy is based on the etiology and pathological changes of burn and aims at effectively lessening the pathological injury in burn wound and promoting the repair of injured tissue .The treatment focuses on the origin and fundamental cause of the disease, therefore, it is an advanced and scientific therapy . Dry burn therapy forsakes the etiology and pathological changes of burn and aims at the treatment of bacterial infection , a secondary cause of injury . Surgical treatment used in dry burn therapy always makes the tissue further injured .It does not treat the origin and fundamental cause of the disease and therefore , is one-sided and expedient .

The Experimental Morphological Study On Microcirculatory

Vascular Tree Of Skin(+)

(Abstract)

Wang Shun Bai Shuling Wang Wei Wang Jun Li Ji

(The Microanatomical Laboratory, China Medical University, Shenyang City)

Uing the vascular casting of ABS , we repaired successfully the cutaneous microvascular casting samples of the adult arm, forearm, thenar and the hypothenar skin sreas, and then ,we observed , in detail , all these vascular casting under scanning electron microscope and illustrated the morphological characteristics of the vascular loops, vascular network, vascular balls of these skin area.

We discovered vascular balls of different shapes in the thenar and hypothenar area. They are : 1. spherical , 2. oval, 3. triangular , 4.fusiform , 5.chrysanthemun-petal like, 6.vascular clump like, 7.spiral and 8.irregular shape.

This study provides new data of microvascular three dimensional architecture for the skin transplantation of the arm , forearm , thenar and hypothenar skin flaps.

Dynamic Aspect Of The Mechanism Of Antiinfective Action Of MEBO

(Abstract)

Du Huai-En

(Hospital For Transportation Workers, Liaocheng Prefecture, Shandong Province)

This paper reports the results of the research on the basic characteristics of MEBO. The results prove that emulsification and dispersion effects of MEBO are , at the molecular level, responsible for its active drainage effect as well as its anti-inflammatory, anagesic and antiinfective effects. The author objectively evaluates the important role of -sitosterol and explains briefly , why MEBO not having bacteriostatic and bactericidal effects, does have significant anti-inflammatory and antiinfective effects.

A Comparison Of The Antishock Effect Between MEBT And Dry Burn Therapy

(Abstract)

Fang Donghai Liu Shixiang Li Qixun Zhou Tianhua Guo Yuanfa Zhu Can Chen Yiming Wang Xinming

(Kunming General Hospital Of Chengdu Military Region)

Rabbits were scalded to produce wounds of second degree . The animals rdceived the same antishock treatment and were divided into two groups. Half of the animals in one group were treated with MEBT and the others treated wih dry burn therapy. A comparison of the therapeutic results between the two groups by observing burn wounds, respiration , heart rate, blood pressure, electrocardiogram, blood viscosity and tissue pathological slice. Statistical analysis of the results revealed that MEBT is superior to dry burn therapy. The authors suggested the antishock effect of MEBT is due to its effects of maintaining blood volume, improving microcirculation, lowering blood viscosity and reducing absorption of burn toxins.

A Comparative Study Of The Effect Of MEBO And Other Drugs On The Healing Rate Of Rabbit Corneal Epithelial Defect

(Abstract)

Huang Qingshan Shang Xianrong

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

Rabbits with corneal epithelium defects of the same size caused by manual stripping were divided into groups and were treated respectively with MEBO, homologous serum, 0.5% dexamethasone, 25000 units/ml Vitamin A and by wearing corneal contact lens . A comparison of the healing rate of corneal epithelium of animals in different groups was made . The results revealed that MEBO, homologous serum, 0.5% dexamethasone and 25000 units/ml Vitamin A had healing promoting effect , while wearing of corneal contact lens retarded the healing of the defect . The healing promoting effect of MEBO was more significant than other drugs.

A Preliminary Study Of The Effect Of MEBO On Rabbit Yellow Phosphorus Burn

(Abstract)

Shi Qingxi Zhou Yan Jiang Qiaosheng Hu Shichun Yang Xinling Gu Yang Sun Chengfang

(The 2nd People'S Hospital , Lianyungang City)

15 rabbits were burned by yellow phosphorus and treated with MEBO. The results revealed that MEBO is very effective for treating phosphorus burn of small area.

A Preliminary Study Of The Levels Of Free Radicals In Skin Soft Tissue Expansion

(Abstract)

Li Jianbing Hao Xingguang Liang Jie Yan Dasheng

(Plastic Surgery Research Institute Of Guangdong Medical College, Zhangjiang)

Expanders which are 20ml in size were placed benedth the dorsa skins of S-D rats. The conventional expansion course is about 23 to 25 days. The activities of superoxide dismutase (SOD) and the contents of Malondialdebls (MDA) were determined prior to the last expansion , and at 1h,6h,12h and 24h after the last expansion , respectively Meanwhile the effect of SOD on the tissue expansion area and length was studied . All results showed the activities of SOD and the contents of MDA at 1h,6h and 12h after expansion compared with before expansion were significantly different (P<0.001,respectively), and they were almost the same levels at 24h after expansion as those of before expansion (P>0.05). What's more ,the administration of SOD could increase the expansion area and length , especially during 16th to 24th day (P<0.05, respectively). This article discussed the influence of free radicals on tissue expansion and provided a new method about how to attain safe, rapid and effective skin tissue expansion.

Experience With MEBT In Treating Large Area Burn At Grass-Roots Level Hospital

(Abstract)

Dai Yang Hu Jiannong Xiao Jingbing Chen Chunmei

(Dept. Of Burns , Hospital Of Chinese Medicine, Jintan City, Jiangsu Province)

In the past , patients with large area burn were transferred to large hospitals at prefecture or city level . Since 1995, after the application of MEBT , in a small grass-roots level hospital as ours , we have been able to treat large area burn patients. This paper reports our experience in treating large area burn with MEBT. 4 cases of pediatric burn with burn area of 62% , 72% 85% and 35% respectively were treated with MEBT. The results were very satisfactory . All the patients healed . The function of the limbs and internal organs were normal . The results proved that MEBT is very practical and reliable.

Clinical Experience In Successful Rescue Of Burn Victims In Groups

(Abstract)

Kang Zhongyuan Liu Lin

(The 3rd People'S Hospital Of Xuzhou City )

This paper reports the results of the rescue of 9 cases of petroleum burn, The patients smoothly tided over the shock stage under the concerted efforts of all the staff and the effective conduct of the hospital leaders. Appropriate rescue measures were taken timely. All the patients were treated with MEBT. This therapy was simple and easy and the efficacy was very good. For deep 2nd degree burn , hyperplastic scar formation was prevented and the function of the limbs was protected to the largest extent. Our practice is again a successful example of rescue of burn patients in groups using MEBT.

Clinical Analysis Of 94 Cases Of Paediatric Burn Treated With MEBO

(Abstract)

Qiu Peiqing

(Dept. Of Burns , Hospital Of Chinese Medicine , Jiaxing City)

94 Cases of paediatric burn were treated with MEBO. The results were very satisfactory. The curative rate was 100%. Children have very thin and tender skin and therefore , heat resistance of the skin is very poor. Burn children always have serious systemic response to burn injury . Deep 2nd degree to 3rd degree burn of children is often very difficult to treat. MEBO proved to be very efficacious. It had fast analgesic effect and strong antiinfective effect. The time for scar to dissolve was short. No scar formed after healing. For deep 2nd degree burn. The systemic response was weak and the therapeutic course was short.

An investigation on the cause of sulfuric acid burn and analysis of the efficacy of MEBO

(ABSTRACT)

gan chuanwei yang junzhi

(hospital for prevention and treatment of professional diseases, zibo city, shandong province)

an investigation on 86 cases of sulfuric acid burn was made to find out the causes of the injury . 51 patients were treated with MEBO/MEBT drugs. A comparison of the clinical results between the two groups was made including the number of patients treated with antibiotics and submitted to operation ,formation of scar after healing and average time of hospitalization , etc. The results revealed that MEBO/MEBT is of first choice for treatin sulfuric acid burn.

A Report Of 48 Cases Of Electric Burn Treated With MEBO

(Abstract)

Wang Chengchuan Pu Zhibiao Sang Zhaoxing

(Dept. Of Burns, The 2nd Hospital Of Yanzhou Mining Bureau)

48 cases of electric burn were treated with MEBO. The results were very satisfactory . Electric burn tissue always has progressive necrosis . It is difficult to debriede . MEBO proved to be very suitable to be applied in such cases. MEBO promoted the recovery of parabiotic tissue and protected the residual surviving tissue and helped to lessen or to avoid infections . The disablement rate was very low and the recovery of the function and the appearance was very good.

Analysis of analgesic effect of MEBO for treating 4373 cases of burn

(abstract)

wang hezhen zhao junxinag yang guoming

(nanyang science and technology centre for burns)

4373 cases of burn were treated with MEBO. The analgesic effect of MEBO during the course of treatment was observed . The authors analyzed the mechanism of the analgesic action of MEBO and suggested that MEBO has the effects of improving microcirculation and drainage . These effects may be responsible for the reduction of pains. The authors also suggested that MEBO may produce different pain reducing effect for burns of different causes and different depths. Finally, the authors concluded that early application of MEBO always results in good reduction of pains.

Long Term Clinical Results Of Treating Esophageal Corrosive Injury With MEBO

(Abstract)

LU xuemei zhang suhua

(liaocheng municipal people's hospital , shandong province)

wu suqin

(liaocheng municipal people's hospital , shandong province)

22 cases of esophageal corrosive injury were treated with MEBO . Among them , 2 cases had 1st degree corrosin , 4 cases IIa degree , 9 cases IIb degree and 7 cases IIa degree . All the patients were followed up for 3 years. 20 cases healed without any sequelae. The curative rate was 90.9%(20/22). 2 cases had esophageal cicatricidal stenosis, (the incidence was 9.1%(2/22) and were cured after repeated expansion . MEBO proved to be a good remedy for treating esophageal corrosive injury.

A Comparative Analysis Of The Efficacy Of Moist And Dry

Burn Therapy For Treating Pediatric Burn

(Abstract)

Zhao Yuanhong

(Dept. Of Burns, Yuncheng Prefectural People'S Hospital, Shanxi Province)

Jin Cuncun

(Infirmary Of School For Deaf And Mutes, Yuncheng , Shanxi Province)

50 cases of pediatric burn were treated with moist burn therapy or dry burn therapy. Comparison of the results revealed that moist burn therapy had the following advantages over dry burn therapy:

1. No need to restrain the burn children as strictly as to those treated with dry burn therapy.

2. The treating time was shorter than dry therapy.

3. Wounds healed more quickly.

4. Wound oozing was reduced.

5. The inner environment of the body was stable .

6. No need of special equipment and strict sterilization.

7. Easy and simple to apply and can be popularized to hospitals at grass-roots level.

A comparison of the efficacy between dry and moist burn therapy for treating exceptionally large area scalds

(abstract)

ye zhenwu lin yan

(dept. of burns , railway hospital, dandong city)

One case scalded to second degree with a scalded area of 95% was treated with conventional dry therapy, while the other one scalded to second degree with a scalded area of 98% was treated with MEBT. Both of the patients healed . But there were many different points worthy to be noted:

1. The total infusion volume at shock stage for moist therapy was only 2/3 of that for dry therapy.

2. The paitent treated with moist therapy had a hospital stay shorter than the one treated with dry therapy.

3. The patient treated with dry therapy had complications, while the one treated with moist therapy had not.

4. The medical expenses of moist therapy was less than that of dry therapy.

5. Moist therapy had analgesic effect so that almost no analgesic agent was needed .

Exceptionally Severe Burn Of Children Complicated By Digestive Tract Hemorrhage

(Abstract)

Wang Dechang Wang Mingqing

(Dept. Of Burns And Plastic Surgery, Shandong Provincial Hospital)

Digestive tract hemorrhage is commonly seen post burn, especially in children with severe burn. 53 children with exceptionally severe burn were treated in our hospital. Among them, 11 had digestive tract hemorrhage .

We analyzed the cases and summarized as the following :

1. The incidence of digestive tract hemorrhage of burn children was higher than that of the adults. The more serious the case the higher than that of the adults. The more serious the case the higher the incidence.

2. Burn children complicated by digestive tract hemorrhage had the bleeding time earlier than that occurred in the adults. The average bleeding time was one week earlier than that of the adults. The earliest bleeding occurred at 3 hours post burn in burn children.

3. The prognosis was poor and the death rate was high (54.5% or 6/11)

4. The direct cause of death was septicemia, etc .

We made a discussion on the prevention and treatment of digestive tract hemorrhage in burn children and pointed out that shock , operational attack, septicemia and over infusion of medium molecular dextran may be responsible for digestive tract hemorrhage.

Elderly patient with septicemia post burn an analysis of 18 cases

(abstract)

zhang hong gao zengshou liu bing

(the 159th hospital of people's liberation army, zhumadian, henna)

18 cases of elderly burn with septicemia were treated in our hospital . The diagnosis and treatment of septicemia were often procrastinated because their manifestations were indistinct. The clinical characteristics were summarized and the occurring pattern and the measures for prevention and treatment were discussed.

33 Cases Of Acute Vulval Ulcer Treated With MEBO

(Abstract)

Xiao Chun Li Shulian

(Central Hospital Of Shaoyany City)

This paper reports the results of 33 cases of acute vulval ulcer treated with MEBO. MEBO proved to be superior to other conventional treatment . It is an ideal drug for treating ulcers.

48 Cases Of Herpes Zoster Treated With MEBO

(Abstract)

Lin Jiayi

(Fuchuan People'S Hospital , Guangxi)

48 cases of herpes zoster were treated with MEBO. The results were very satisfactory. MEBO had good analgesic and antiinfective effects. It dilated microvessels, improved microcirculation and promoted healing of the wounds. The therapeutic course was short. No pigmentation and no scar formed after healing.

25 Cases Of Acne Treated With MEBO

(Abstract)

Chen Bozeng Cheng Yuzhi

(People'S Hospital, Xinzhou Prefecture ,Shanxi Province)

Hu Xiong

(Health Centre Of Fangkou Town, Ningwu County, Shanxi Province)

25 cases of acne of the young were treated with MEBO. The results were very satisfactory. MEBO proved to be an excellent remedy for treatinf acne of young people.

Application of MEBO after carbon dioxide laser surgical treatment of pointed condyloma

(abstract )

wang gang zhou liyi

(dept. of dermatology , tongji hospital , tongji medical university)

Wounds formed after laser surgical treatment of pointed condyloma are always difficult to heal. The authors used MEBO for treating wounds of the kind. The wounds healed in 8.3+1.7 days , while wounds of the kind treated with conventional method healed in 18+1.3 days (P<0.001), MEBO proved to be a good remedy for treating wounds after laser surgical treatment of pointed condyloma.

MEBO in combination with carbon dioxide laser surgery for treating 50 cases of bromhidrosis

(abstract)

wu guangyu huang qingshan zhou guang

(the 2nd people's hospital , laiwu city, shandong province)

50 cases of bromhidrosis were treated with MEBO in combination with carbon dioxide laser treatment alone. Patients treated with MEBO in combination with laser surgery had a curative rate of 95% in 2 weeks, and the average healing time was 12+2 days , while those treated with laser surgery alone had a curative rate of 85% and the average healing time was 13+2 days . The difference between the two groups was signifivant (P<0.05). The therapeutic course was obviously shortened in MEBO in combination with laser surgery group. This result proved that MEBO promoted the healing of the wound after laser surgery and prevented the formation of scar.

Application of MEBO for treating 36 cases after skin planning

(abstract)

meng xianzhe wang weizhi liu fumin

(affiliated hospital of taishan medical college)

36 patients after face planning were treated with moist exposed therapy. The results were compared with that of conventional therapy. Moist exposed therapy has the advantages of reduction of exudates, alleviation of pains and pruritus , prevention of infections and promotion of recovery . Patients treated with MEBO could eat everything without any difficulty. The scar was softened and removed after continuous application of MEBO for two months.

Nursing experience in treating 84 cases of large area burn with MEBT

(abstract)

tao rong

(no. 364 hospital , general corporation of aeronautical industry)

84 cases of serious and exceptionally serious burn were treated with MEBT. The nursing work was done by taking measures to prevent shock and infection and to ensure sufficient nutritional support . 80 patients were cured and 4 died from disseminated intravascular coagulation and multiple system organ failure . This paper describes , in detail , the nursing experience including how to help patients to tide over the shock stage, to ensure nutritional supply and how to do psychological nursing work, etc.

Pigment In Eyelid And Palpebral Margin Treated With Cosmetic Surgery

(Abstract)

Liu Yifeng Ma Li Huang Jinping Zhou Rong Fang Liu Seng Li Pingsong

(Affiliated Hospital , Yangzhou Medical College)

34 cases of facial pigmented nevus were treated with cosmetic surgery . Among them , 18 cases had eyelid and palpebral margin pigment. This paper reports the experience in the treatment . Two typical cases were described in details. A discussion on the indication of cosmetic surgery and points for attention during the treatment are presented.