MEBO 治疗皮瓣切取创面游离植皮成活不良的疗效分析

目的湿润烧伤膏（MEBO）是目前治疗各种类型烧伤刨面的主要药物，但用其治疗各类皮瓣切取创面游离植皮成活不良的报道不多，本文旨在总结MEBO治疗皮瓣切取创面游离植皮成活不良的临床疗效。方法自2010年1月至2012年1月，采用MEBO治疗这类创面42例（处），创面用碘伏消毒后生理盐水冲洗干净，拭干后外涂MEBO，厚1mm-2mm，均匀涂布整个创面。尔后外敷MEBO药纱．每13换药1次．．结果42例（处）患者全部治愈，平均愈合天数为33d。结论MEBO治疗皮瓣切取创面游离植皮成活不良，避免了二次植皮手术，减轻了患者的心理恐惧和经济负担，操作简便，易于取材，值得推广。

Curative Effect Analysis of MEBO in Treating Skin Flap Donor Sites after the Failure of Free Skin Grafting

Objective MEBO is the main medication for the treatment of burn wounds of various types at present, but there are few reports on the study of MEBO in treating skin flap donor sites after the failure of free skin grafting. This pa- per is to analyze the efficacy of MEBO in treating skin flap donor sites after the failure of free skin flap grafting. Methods From January 2010 to January 2012, 42 cases （42 wounds） with skin flap donor sites having failed free skin grafting were treated with MEBO. Wash the wounds with saline solution after Iodophor disinfection, and then smear MEBO on the wounds completely at a thickness of 1 mm - 2 ram, and lastly coverer the wounds with MEBO gauze and change dressing once every day. Results Forty-two cases with 42 wounds of skin flap donor sites after the failure of free skin grafting were all cured, with an average healing time of 33 days. Conclusion MEBO when used to treat skin flap donor sites after the failure of free skin grafting can avoid the secondary skin grafting, reduce the fear and economic burden of patients and is also easy to oper- ate and to obtain, which, therefore, is convenient for popularization.