湿润烧伤膏治疗挤压伤骨外露一例

目的:探讨湿润烧伤膏(MEBO)治疗挤压伤骨外露的效果.方法:患者右足背车轮挤压伤,足背拇长伸肌腱和趾跖关节外露,人院后即进行清创处理,剪除坏死组织,保留有生机的组织,创面外涂MEBO,厚2mm～3mm,每日换药2～3次,同时卧床抬高患肢,保证创面回流通畅.结果:用药2天创面红肿消退,4天～5天可见创缘肉芽组织生长,12天后骨质坏死带与正常生长带界限明显,15天后行坏死骨质咬除术和肉芽组织微粒皮种植术,术后7天可见微粒皮长出,15天皮片融合,创面封闭.结论:挤压伤应用MEBO再生疗法治疗,能改善创面微循环,祛腐生肌,促进创面再生修复,方法简便易行,效果好.

A case Report on Treating Bone Exposure caused by Crush Injury with MEBO

Objective：To observe the clinical effect of treating bone exposure caused by crush injury with MEBO.Method：The patient was admitted with crush injury of right foot back caused by wheels,that resulted in dorsum pollicis longus tendon and toe metatarsal joint exposed.After wound debridement,removal of necrotic tissue and retaining life tissue in vitality,MEBO was applied to the wounds with thickness of 1-2mm,2-3 times per day.At the same time,bed rest and raising affected limb were required to ensure smooth return of blood circulation.Result：Wound redness and swelling subsided can be observed after 2 days of treatment;the growth of granulation tissue on the wound edge can be founded after 4-5 days;a clear boundary between bone necrosis zone and normal growth zone was observed after 12 days;necrosis bone bite surgery and granulation tissue micro-particle skin grafting were carried out after 17 days.On the 7th day after operation,micro-particle skin was observed.The wound was closed by skin fusion on the 15th day. Conclusion：MEBO can improve microcirculation of wound,remove necrosis tissue and promote tissue regeneration and achieve wound regeneration and repair.It has significant effect to treat crush injury with MEBO due to good effect and simple operation.