烧伤皮肤再生修复的临床治疗观察

目的：总结各种深度烧伤创面再生修复的临床演变过程。方法：对我院1987年至2002年救治的12500例入院与出院病人登记资料统计，结合以往所进行的阶段性资料总结，阐述病人的基本情况与湿润烧伤膏（MEBO）治病下的创面愈合过程．结果：全国最大烧伤面积99.8％TRSA，最大患病年龄88岁，最小初生两天；深Ⅱ度浅型创面伤后2周愈合，无瘢痕增生；深Ⅱ度深型3周内愈合，瘢痕发生率15％；浅Ⅲ度创面应辅以皮肤耕耘减张处理，瘢痕发生率为25％；深Ⅲ度烧伤需借助外科技术封闭创面，所有创面的主体治疗药物为MEBO。结论：深度烧伤在MEBO治疗前提下，辅以耘耘疗法或借助外科技术可促进创面再生修复，降低瘢痕发生率。

Clinical observation on burn skin regenerative repair

objective: To investigate the process of wound regenerative repair of different depth of burn. Method: The data of 12, 500 cases of bum treated with MEBO were analyzed. The basic condition and the healing course of the wounds were illustrated. Result: The largest burn area was 99. 8% TBSA. The oldest patient was 88 years old, and the youngest patient was a 2 days old infant. Superficial type second degree burn healed in 2 weeks with no scar formation. Deep type second degree burn healed in 3 weeks with 15% scar formation. For superficial third degree bum skin ploughing and relaxation technique was applied as an adjuvant treatment and the wounds healed with 25% scar formation. For deep third degree burn, surgical closure of the wound was needed. Conclusion: MEBO treatment associated with ploughing and relaxation technique or surgical wound closure can promote regenerative repair of deep burn wounds and reduce scar formation rate.