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1.
美宝湿润烧伤膏治疗大面积烧伤42例   总被引:8,自引:2,他引:6  
目的:总结美宝湿润烧伤膏(MEBO)治疗大面积烧伤的临床经验.方法:回顾性分析2001年1月至2007年6月,我院应用烧伤湿性医疗技术治疗的42例大面积烧伤患者临床资料.结果:42例患者伞部治愈,同时湿润烧伤膏(MEBO)具有较好的止痛作用,抗感染力较强,促进创面皮肤再生修复,深Ⅱ度创而无瘢痕愈合,小面积Ⅲ度创面不需植皮,亦可自行愈合,功能基本正常.结论:MEBT/MEBO综合治疗大面积烧伤患者,疗效显著,预后好.  相似文献   

2.
目的:观察MEBO对面部深Ⅱ度深型和浅Ⅲ度创面的治疗效果。方法:将采用MEBO治愈面部30例烧伤病人,选择深Ⅱ度15例,浅Ⅲ度15例,进一步观察创面感染,疼痛愈合时间及愈合瘢痕生成情况。结果:深Ⅱ型深型创面无瘢痕愈合,弹性尚好,有色素沉着,浅Ⅲ度创面愈合后有散在瘢痕形成,弹性欠佳,结论:MEBO有促进头部深度烧伤创面,再生、修复、融合漫延的作用,并有良好的止痕效果。  相似文献   

3.
烧伤湿润包扎疗法临床应用1206例报告   总被引:1,自引:1,他引:0       下载免费PDF全文
目的 总结烧伤湿润包扎疗法在本院的临床应用情况,进一步完善烧伤湿性医疗技术的学术体系.方法 规范采用徐荣祥教授发明的烧伤湿性医疗技术治疗烧伤创面,用均匀涂抹MEBO的TJ烧伤敷料覆盖创面,再用自粘式弹力绷带无压包扎,每日换药1~2次,观察疗效.结果 浅Ⅱ度创面5d~7d自行愈合,深Ⅱ度浅型创面14d~20d天自行愈合,深Ⅱ度深型创面28d左右愈合,Ⅲ度浅型创面40d左右愈合,Ⅲ度深型创面治疗4周后植皮封闭创面;混合Ⅱ度烧伤患者无明显发热症状,部分深Ⅱ度深型以上烧伤患者有中度发热,但极少高热;无1例并发细菌及真菌感染.结论 使用烧伤湿润包扎疗法治疗烧伤创面能保证创面湿润不干燥,易于清创,患者痛苦小,能更好地保护创面,促进创面愈合.  相似文献   

4.
目的总结湿润烧伤膏联合重组人生长激素治疗头面颈部硫酸烧伤的临床疗效。方法对2000年10月-2010年10月河南省周口市烧伤医院收治的36例头面颈部硫酸烧伤患者采用湿润烧伤膏外涂联合重组人生长激素皮下注射治疗,观察创面愈合时间及愈合效果。结果患者创面愈合时间,浅Ⅱ度为5~9 d,深Ⅱ度为12~25 d,Ⅲ度浅型为25~36 d,Ⅲ度深型为35~57 d;浅Ⅱ度与深Ⅱ度创面愈后均无瘢痕增生,仅留有少许色素沉着,Ⅲ度创面愈后有轻度瘢痕增生,增生部位较平坦,无功能障碍。结论湿润烧伤膏联合重组人生长激素治疗头面颈部硫酸烧伤,创面愈合效果好,愈后皮肤无瘢痕增生或增生不明显。  相似文献   

5.
作者收治一中年女性烧伤,总面积为80%,深Ⅱ度50%、浅Ⅱ度30%。伤后一小时入院。合并呼吸道烧伤,入院时休克,经抗休克病程渡过平稳。因烧伤湿润膏供药不足,仅于双上肢行湿性暴露疗法,余处采用SD—Ag暴露疗法。用湿润暴露疗法者为深Ⅱ度,两周后创面溶解有散在上皮岛,以后逐渐扩散,四周后逐渐皮肤融合,残余创面用网状及邮票状植皮全部愈合,愈合后未留任何疤痕,功能良好。SD—Ag创面溶痂后行植皮愈后。  相似文献   

6.
本文报告了一例烧伤面积达98%深Ⅱ度54%、Ⅲ度37%的伤员,全部创面应用湿润烧伤膏及湿润暴露法治疗,获得成功的临床体会,结果表明:该疗法应用于特大面积深度烧伤的创面,可通过湿润创面,液化坏死组织,创面引流、隔离和持续供药,有效地保护创面促进创面愈合,避免其因干燥、感染而使创面坏死加深,是治疗烧伤的一种理想方法。对于Ⅲ度较大面积烧伤,作者认为该疗法一旦创面脱痂后形成新鲜的肉芽创面,即应尽早植皮,以缩短疗程。文章还对湿润暴露的使用方法及其应用于特大面积烧伤的优点作了介绍。  相似文献   

7.
MEBT/MEBO救治大面积烧伤185例临床分析   总被引:4,自引:1,他引:3  
目的:回顾性总结我医院应用烧伤湿性医疗技术(MEBT/MEBO)治疗各种原因导致的大面积烧伤185例的临床疗效。方法:全程采用MEBT/MEBO处理创面,针对病人伤情予以早期液体复苏,气管切开处理,辅以气道湿化、灌洗,保持气道通畅及加强早期胃肠道营养等治疗措施。结果:湿润烧伤膏(MEBO)具有较好的止痛作用,抗感染力较强,促进创面皮肤再生修复,深Ⅱ度创面无瘢痕愈合,小面积Ⅲ度创面不需植皮,亦可自行愈合。结论:MEBT/MEBO治疗大面积烧伤疗较显著。  相似文献   

8.
作者对一例85%烧伤病人,其中Ⅲ度创面63%、深Ⅱ度创面20%、浅Ⅱ度创面2%,经传干燥疗法治疗3日后,改行烧伤湿润暴露疗法,治疗56天未经植皮,创面全部愈合。临床实践证明:湿润暴露疗法治疗烧伤,可使大面积Ⅲ度创面表皮化愈合。本文通过对该病人救治过程中的护理工作,说明系统而规范化的护理措施是使湿润暴露疗法发挥其最大疗效的有力保证。  相似文献   

9.
湿润烧伤膏治疗大于50%TBSA临床研究报告(一)   总被引:6,自引:5,他引:1  
目的:通过对国内12所烧伤治疗具有较大影响力的三级医院治疗大面积烧伤病例分层抽样方法调查分析,进一步验证烧伤湿性医疗技术(MEBT/MEBO)治疗大面积烧伤及全身各部位烧伤创面的疗效,考察其有效性、可行性、安全性,规范MEBT/MEBO技术操作规程。方法:对回收调查表格进行逻辑校对,最终确定的60例大面积烧伤病人各部位的不同深度烧伤创面,全程采用MEBT/MEBO治疗和全身系统治疗措施治疗,全面观察、记录全身病理生理指标与创面各项指标的变化。结果:致伤原因以沸水、火焰居多;受伤部位遍布全身各处;成年组51例,烧伤总面积71.6±15.0%TBSA,小儿组9例,烧伤总面积53.9±3.8%TBSA;根据1970全国烧伤会议烧伤伤情分类标准判断均属特重度烧伤;未发生严重并发症,创面感染确诊率仅占5%,有59.9%的病人的Ⅲ度创面实行了植皮手术治疗;深Ⅱ度深型和Ⅲ度浅型创面瘢痕愈合率分别为26.8%、56.6%,但它们的瘢痕增生范围与传统疗法比均有缩小,p值均<0.01;Ⅲ度深型均为非完全正常皮肤形态的愈合,无全身不良反应。结论:MEBT/MEBO治疗大面积烧伤和全身各部位烧伤的疗效显著,可降低深Ⅱ度深型和Ⅲ度浅型创面瘢痕发生率,大面积烧伤和全身各部位的烧伤创面均是MEBT/MEBO的良好适应证;Ⅲ度深型烧伤创面可借助MEBT/MEBO促进创面肉芽组织再生,后期实行植皮手术治疗,或于烧伤早期接受植皮手术治疗。  相似文献   

10.
目的:总结MEBO治疗大面积烧伤的护理体会.方法:回顾性分析2008年以来我院应用MEBO治疗大面积烧伤患者的临床护理资料.结果:12例患者全部治愈,深Ⅱ度烧伤无瘢痕愈合,小面积Ⅲ度烧伤创面不需植皮,可自行愈合.结论:MEBO治疗大面积烧伤患者,疗效及预后良好.  相似文献   

11.
The Knee injury and Osteoarthritis Outcome Score (KOOS) is a self-administered instrument measuring outcome after knee injury at impairment, disability, and handicap level in five subscales. Reliability, validity, and responsiveness of a Swedish version was assessed in 142 patients who underwent arthroscopy because of injury to the menisci, anterior cruciate ligament, or cartilage of the knee. The clinimetric properties were found to be good and comparable to the American version of the KOOS. Comparison to the Short Form-36 and the Lysholm knee scoring scale revealed expected correlations and construct validity. Item by item, symptoms and functional limitations were compared between diagnostic groups. High responsiveness was found three months after arthroscopic partial meniscectomy for all subscales but Activities of Daily Living.  相似文献   

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14.
Acute limping may be the result of multiple pathologies in children. The differential diagnosis varies based on the age of the child. Irrespective of age, the initial imaging work-up includes AP and frog leg radiographs of the pelvis and ultrasound; MRI may sometimes be helpful. In children less than 3 years, infections and trauma are most frequent. MRI is the imaging modality of choice when osteomyelitis is clinically suspected. Between the ages of 3 and 10 years, transient synovitis of the hip and Legg-Calvé-Perthes disease are main considerations but infection, inflammation and focal bony lesions are also considered. In children over 10 years, slipped capital femoral epiphysis also is considered.  相似文献   

15.
Introduction Ankle sprains are the most common musculo-skeletal injury that occurs in athletes,particularly in sports that require jumping and landing on one foot such as soccer,and basketball(1-4).These injuries often result in significant time loss from participation,long-term disability,and have a major impact on health care costs and resources(5-8).  相似文献   

16.
Objective To investigate endovascular treatment of traumatic direct carotid-cavernous fistulas (CCF) and their complications such as pseudoaneurysms. Methods: Over a five-year period, 22 patients with traumatic direct CCFs were treated endovascularly in our institution. Thirteen patients were treated once with the result of CCF occluded, 8 twice and 1 three times. Treatment modalities included balloon occlusion of the CCF, sacrifice of the ipsilateral internal carotid artery with detachable balloon, coll embolization of the cavernous sinus and secondary pseudoaneurysms, and covered-stem management of the pseudoaneurysms. Results All the direct CCFs were successfully managed endovascularly. Four patients developed a pseudoaneurysm after the occlusion of the CCF with an incidence of pseudoaneurysm formation of 18.2% (4/22). A total number of 8 patients experienced permanent occlusion of the ICA with a rate of ICA occlusion reaching 36.4% (8/22). Followed up through telephone consultation from 6 months to 5 years, all did well with no recurrence of CCF symptoms and signs. Conclusion Traumatic direct CCFs can be successfully managed with endovascular means. The pseudoaneurysms secondary to the occlusion of the CCFs can be occluded with stent-assisted coiling and implantation of covered stents.  相似文献   

17.
Introduction Interventional Radiology has evolved into a specialty having enormous input into the care of the traumatized patient.In all hospitals,regardless of size,the Interventional Radiologist must consider their relationships with the trauma service in order to  相似文献   

18.
KEY POINTS ·High-intensity interval training(HIT)is characterized by repeated sessions of relatively brief,intermittent exercise.often performed with an“a11 out”effort or at an intensity close to that which elicits peak oxygen uptake(i.e.,≥90%of VO2 peak).  相似文献   

19.
The ultrasonographic diagnosis of pneumothorax is based on the analysis of artifacts. It is possible to confirm or rule out pneumothorax by combining the following signs: lung sliding, the A and B lines, and the lung point. One fundamental advantage of lung ultrasonography is its easy access in any critical situation, especially in patients in the intensive care unit. For this reason, chest ultrasonography can be used as an alternative to plain-film X-rays and computed tomography in critical patients and in patients with normal plain films in whom pneumothorax is strongly suspected, as well as to evaluate the extent of the pneumothorax and monitor its evolution.  相似文献   

20.
KEY POINTS· Carbohydrate intake during exercise can delay the onset of fatigue and improve performance of prolonged exercise as well as exercise of shorter duration and greater intensity (e.g., continuous exercise lasting about 1h and intermittent high-intensity exercise), but the mechanisms by which performance is improved are different.  相似文献   

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