关键词：
The Morphology of Vascular Balls of Human Dermal Papillae
and Its Clinical Significance
(Abstract)
Bai Shuling Wang Jun
(Dept. of Anatomy,China Medical University)
Chen Huichi
(Dept. of Gynaecology and Obstectrics,the 2nd Affiliated Hospital of C
hina Medical University)
Objective:To provide the morphological data of the vascular ba
lls of human dermal papillae for the research on skin damage and repair and related fields.
Methods:Skin blood vessels were infused with A.B.S. and the vascul
ar cast was observed with SEM.
Results:The morphological characteristics and formation mechan
ism of 6 kinds of dermal papillary vascular balls in human hands and feet were observed.
Conclusion:Except for the pin-like vascular loops in human skin der
mal papillae,there were a lot of vascular balls which existed in it and formed by some compiling vascular loops.This is a special and rich in blood supply area,and is worth further research.
A Preliminary Research on the Antiinflammatory and
Detoxifying Effects of MEBO
(Abstract)
Huang Qingshan Li Kaixian Zhu Danqing
(The 2nd People's Hospital, Laiwu City, Shandong Province)
Experiments were performed for investigating the effects of MEB
O on plasma interleukin-8(IL-8), nitrite ion and nitrate ion ratio, comp
lement 5a(C5a) and polymorphonuclear neutrophilic leukocyte(PMN) ch
emotaxis index(CI) in rabbits with endotoxin-induced disseminated int
ravascular coagulation(DIC). The results showed that plasma IL-8, nitr
ite ion and nitrate ion ratio, C5a and CI levels of PMN increased markedly in model group, which were confirmed pathologically with obvious damage of tissues or organs, while in the MEBO group, the above mentioned parameters and damage of tissues or organs were reduced significantly (P<0.01). The results suggested that the IL-8 and NO might be involved in thepathogenesis of endotoxin-induced DIC and MEBO could be used for preventing or treating DIC through a mechanism of regulation of cytokines network.
Staphylococcus Aureus Bacteremia of Burn Patients
--An Analysis of 179 Cases
(Abstract)
Zhang Hong Yang Xiaodong
(Burn Unit, the 159th Hospital, PLA, Zhumadian, Henan Province)
To find out the pathogenesis of bacteremia of burns and the measures for its prevention and treatment, a retrospective study of the analysis of 179 cases of Staphylococcus aureus bacteremia treated in our hospital from 1981 to 1995 was made. It was shown that bacteremia occurred in patients with an average TBSA of 52.39%, and third degree burn area 27.93%. The stage of high incidence was in two weeks post burn and in the perioperative period. The incidence and prognosis of bacteremia were related to burn area, inhalation injury, shock, agents causing bacteremiaor type of bacteria invasion, infective complications and so on. It was suggested that comprehensive prevention and treatment measures should be taken to control the development of bacteremia and efficacious an tibiotics should be adminstered for those who are highly susceptible to bacterial infection. This is the key to the reduction of the morbidity and mortality of bacteremia of burn patients.
The Application of Renal Functions Radioimmunoassay
in Serious Burns
(Abstract)
Yang Xianwen Wang Xinting
(Burn Research Institute, Hebei Province)
Renal functions radioimmunoassay is a sensitive method for diagnosing the changes of renal functions in the early stage of burn. The urine Alb, serum and urine β2 -m, IgG, and THP were serially determined with radioimmunoassay to assess the renal functions during various stages of burn in 71 patients with TBSA over 30% (X±S=60.40%±19.24%).It was found that the urine levels of Alb,IgG and THP and the serum and urine levels of β2 -m were remarkedly increased and that the serum levels of IgG were decreased after burns.The results of examining differential molecular weight proteins of urine may mirror the changes of glomerular permeability and degree of injury.Blood β2 -m change is a sensitive target evaluating glomerular filtration function,especially,when blood creatinine is in blind zone.Urine β2 -m and THP(mucin)RIA have the locating role in renal tubes injuries (proximal convoluted tube, distant convoluted tube).Renal functions radioimmunoassay method is easy toooperate,its blood and urinary samplings are convenient,the providing data are seriation,its credibility is high and is easy to popularize.
An Analysis of 84 Cases of Multiple System Organ
Failure Post Burn
(Abstract)
Sun Zhigang Qi Shunzhen Lin Hongwu Liu Jianchun
(Dept. of Burn Plastic Surgery, International Peace Hospital Named aft
er Norman Bethune)
A retrospective analysis of 84 cases of burn complicated by multiple system organ failure (MSOF) was made. It showed that MSOF is closely related to degree of burn, shock, inhalation injury and severe infecti on. Delayd type MSOF is directly related to shock and infection and kidney is initially attacked. Immediate type MSOF is closely related to inhalation injury and lung is initially attacked. The more the organs involved the higher the mortality. Measures for prevention and treatment of MSOF are presented.
Clinical Evaluation of the Efficacy of MEBO Derm Health Cream
(Abstract)
Chen Xinping
(Dept.of Dermatology,Tongji Hospital)
50 cases of skin pruritus due to different causes were treated with MEBO Derm Health Cream.No other drug was administered at the same time to exclude interference.the grading of the efficacy was based on comparison of the symptoms before and after the application of the cream including erythema,Papule,blister,infiltration,erosion,scab formation,lichenization,etc.The reliving index was calculated for every symptom.The results:Total effective rate 85%,effective rate 96%.Noadverse effects has been found.The author concluded that MEBO Derm.Health Cream has good antipruritive,antiinflammatory,antibacterial and antimycotic effects.It has quick onset of action and is very safe.
Clinical Application and Experimental Research of MEBT
for Prevention and Treatment of Burn Shock
(Abstract)
Fang Donghai Li Qixun Guo Yuanfa Zhu Can Wang Xinming
(Kunming General Hospital,Chengdu Military Region)
Since 1988,the application of MEBT has successfully saved the life of a large number of burn victims.Experimental research and clinical practice proved that MEBT for preventing and treating burn shock has the advantages of requiring only small amount of infusion fluid and resulting in exoellent efficacy.This paper presents a comprehensive revi
ew on the masearch and clinical data of MEBT and a discussion on its mechanism and prospect.
Clinical Analysis of 111 Cases of Pediatric Burn and
Scald Treated with MEBO
(Abstract)
Huang Shixiang Luo Chengqun
(Xiangya Hospital of Hunan Medical University)
This paper reports 111 cases of pediatric burn and scald treated with MEBO.All the children were at the age below 3.The largest burn (scald)area was 50%TBSA.Deep and superficial second degree burn accounted for 70.27% (78 cases).Third degree burn accounted for 4.5% (5 cases).All the children were healed,among which 89 cases (80.18%) with 15%TBSA burnwere healed in 2 weeks.
The application of MEBO enriched the clinical experience in the treatment of burn and scald.The authors concluded that MEBO is better than conventional dry exposed therapy and has a promising prospect.
Clinical Experience with MEBO in Treating 15 Cases
of Large Area Burn
(Abstract)
Wang Shiyou
(No.364 Hospital, Xiangfan City, Hubei Province)
From 1993 to 1996, in our hospital, 15 cases of large area burn were
treated with MEBO/MEBT. The smallest burn area was 50%BSA and the large
st 95%BSA. All the patients had deep second degree and third degree burns. 10 of them were complicated by moderate or severe inhalation injury.Timely measures including trachetomy, oxygen inhalation and aerosolinhalation were taken. All the patients were cured, except for one died from MSOF.
Deep Third Degree Burn Wounds Treated with MEBT in Conjunction
with Granulation Wound Granular Skin Grafting
(Abstract)
Yang Guoming Zhao Junxiang Yong Zheng
(Nanyang Burn Centre)
The authors treated deep third degree burn wounds with MEBT/MEBO
and the granulation wounds thus formed were treated with granular skin
grafting. The wounds healed after cultivation of epithelial tissue. This method resolved the problem of shortage of skin sources and the difficulty of wound closure.
MEBO for Treating 67 Cases of Exceptionally
Severe Large Area Burns
(Abstract)
Mi Qinghui Xiong Kai Lan Hai Dai Yi
(The 414 Hospital, Duyun City, Guizhou Province)
67 cases of exceptionally severe large area burn were treated with MEBT. 61 cases cured. The authors pointed out that proper appliaction of MEBO, systemic support and effective control of infections are very important in the treatment of exceptionally severe large area burns.
MEBO for Treating 225 Cases of Infant Scalds
(Abstract)
Bao Jianhua Qiao Jian Chen Junxian
(Ningbo Hospital for Women and Children, Zhejiang Province)
225 cases of infant scalds were treated in our hospital with MEBO.
The results were satisfactory. MEBO has analgesic and antiinfective effects. It promotes wound repair. According to the characteristics of
the physiology of infants, measures including intravenous high energy nutrition supply and administration of broad spectrum antibiotics in combination with appropriate dose of adrenocortical hormone are advisable.
Experience with MEBT/MEBO in Treating 28 Cases of Burn
(Abstract)
Liu Huirong
(Hospital of Tsinghua University)
28 patients with deep second degree and third degree burns were treated with MEBT/MEBO. The results were very satisfactory. This method
has analgesic and antiinfective effects. No scar formation for deep second degree wounds after healing, only small scars formed for thirddeg
ree wounds.
Clinical Experience with MEBT in Treating 588 Cases of Burn
(Abstract)
Wang Guoqiao Lu Yunqing Yin Wangping Zhou Junfeng
Feng Chaoming Zhang Xinchun Li Xingping
(The Third People's Hospital,Xiaogan City,Hubei Province)
This paper introduces the experience in treating 588 cases of brun with MEBT. The authors pointed out that the key measures for treating burn wounds including timely removal of necrotic tissue and promoting early closure of the wouds. The authors emphasized that proper use of MEBO is important to avoid further injury of the wounds. A discussion on the technique for application and renewal of MEBO is presented.
Treatment of Electric Burn Occurred During Operation
Under Extracorporeal Circulation
(Abstract)
Lin Shanwen Wang Shuping Song Xiuyin Han Linchun
(General Hospital of Beijing Military Region)
During operation under extracorporeal circulation, high frequency electric knife is used to excise the tissue. 12 patients were burned electrically The burn wounds were small and superficial. Most of the wounds located on prominent parts of the bone. Most of them were single. 41.7% of them were double.
The wounds were treated locally with tinctures and gentian violet.
The wounds were dry but healed with scar formation. The authors suggest
ed some measures for the prevention of burn caused by electric knife.
Experience in the Treatment of Burn Patients Complicated
by ARDS with High Frequency Jet Ventilation
(Abstract)
Zhang Pihong Ma Enqing Huang Xiaoyuan Long Jianhong Zhong Keqing
(Dept. of Burn Plastic Surgery, Affiliated Xiangya Hospital,
Hunan Medical University)
Two patients were burned by flame of gunpowder. Mild inhalation injury merged, but then without severe symptom of the respiratory tract.6 days and 10 days after injury, they were complicated by adult respiratory distress syndrom. The complications were controlled effectively by high frequency jet ventilation. The authors summarize their experience in the management of ARDS after burning.
Clinical Experience with MEBO Scar Lotion in Treating
35 Cases of Hyperplastic Scar
(Abstract)
Ren Baoqi Ren Xianyuan
(Hospital for Burns, Wuan City, Hebei Province)
This paper introduces the experience with MEBO Scar Lotion in the treatmet of 35 cases of hyperplastic scar. The authors suggest that MEBO Scar Lotion is very easy to apply and has good efficacy. The patients need not be subjected to operation. It is really a glad tidings.
Evaluation of the Efficacy of MEBO Itching Reliever Cream
--A Report of 114 Cases
(Abstract)
Li Chuanji Hu Jianwu Su Yuanqin
(The 1st People's Hospital, Shizuishan City, Ningxia Hui Autonomous Re
gion)
Guo Jinxiang Wei Shucheng Li Rongchun
(Hospital of Nationality Chemical Group Co., Shizuishan City,
Ningxia Hui Autonomous Region)
114 cases of skin scar pruritus after healing of burn wounds and 23
cases of pruritus due to various causes were treated with MEBO Itching R
eliever Cream. The effective rate was 100%. 60.53% of the patients stop
ped itching in one minute after application of the cream and its effect lasted 30 minutes. The authors made a discussion on the mechanism of its antipruritic action.
The Application of MEBO after Electrocautery of Cervical Erosion
--A Report of 50 Cases
(Abstract)
Li Shulian
(Central Hospital, Shaoyang City)
In the past two years, we treated 50 cases of cervical erosion after electrocautery using MEBO and 70 cases of the same disease using conve
ntional method. A comparison of the results of the two groups proved tha
t MEBO group has a higher wound healing rate and shorter healing time. MEBO also has antibleeding and antiinfective effects.
MEBO Bandaging Method for Treating Deep Chronic Skin Ulcer
(Abstract)
Yue Wei
(Jiamushi Chemical Industrial Hospital)
Two cases of deep chronic skin ulcer were treated with MEBO bandaging method. The results were very satisfactory. Bandaging method does not affect the adequate drainage in the wounds and the antiinflammatory and epithelial granulation promoting effects of MEBO. This method is simple and easy and very effective.
MEBO for Treating Severe Extensive Pyogenic Ulcer in Both Shanks
(Abstract)
Mo Juefei
(Guanganmen Hospital, China Academy of Traditional Chinese Medicine)
A case of extensive pyogenic ulcer in both shanks complicated by secondary iinfection, toxic shock and acute heart and kidney failure.
After timely systemic treatment, the symptoms were controlled. The wounds were then treated with MEBO. Interrupted exposure techniique was
used. The wounds healed without scar formation. The auther pointed out
that when applying MEBO, the doctors should not rigidly adhere to the ex
posed technique only. Exposed, semi-exposed and interruptedly exposed techniques should be appplied in a flexible way according to the case.
59 Cases of Nasal Hemorrhage Treated with MEBO
Gauze Packing Method
(Abstract)
Gao Dianxin Li Fusong Zhao Zengbo He Yunxia Yang Yunjing
(People's Hospital, Laizhou City, Shandong Province)
463 cases of nasal hemorrhage were treated with MEBO gauze packing method. The results were very satisfactory. This paper summarizes the results of treating 59 inpatients. It shows that MEBO gauze packing me
thod has good antihemorrhage, antiinfective and analgesic efects. The packing material has good smelling and is welcomed by the patients. MEBO gauze can be widely used to replace vaseline gauze.
Soft Tissue Crush Injury After Early Incison and
Drainage Treated with MEBO Gauze
(Abstract)
Gao Minxin Wang Huiyu Pan Yumei Zheng Qun
(People's Hospital, Anqiu City, Shandong Province)
18 cases of soft tissue crush injury after early incision and drainage were treated with MEBO gauze. MEBO helped to promote early liquefaction of necrotic tissue, revivification of parabiotic tissue and growth of granulation tissue. It preserves parabiotic tissue to the greatest extent and markedly reduces disablement rate. Part of the large defects can be repaired by autotransplantation of skin or transposition of skin flap. The results were satisfactory.
Mesh Skin Grafting for Repairing Granulation Wounds in
Joints of Large Area Burn Patients--A Report of 12 Cases
(Abstract)
Xu Xisheng Wang Guangshun Nan Xiuyrong Li Chengcun
(Affiliated Hospital, Taishan Medical College)
12 cases of large area burn with extensive granulation wound denuding in joints were treated with mesh skin grafting. The results were satisfactory. The wounds healed quickly. The drainage was adequate. The
wound surface after healing was smooth. Very few scars formed and no sev
ere contracture happened.. This grafting method can save skin flap and
the flap survival rate is high. It is easy to operate and the flap is easy to be fixed. The recovery of the functions is very good.
Back Broadest Muscle Flap for Repairing Deep Electric Burn wounds
(Abstract)
Wang Yongjie Fang Linsen Wang Liiji Wang Changrong Li Shousheng
(Affiliiated Hospital, Anhui Medical University)
4 patients with high voltage electric burn wounds were repaired using back broadest muscle flap. The results were satisfactory. The authors made a discussion on the optimal time and the principle of debriede
ment of deep electric burn wounds. Back broadest muscle flap has rich blood supply and is highly resistant to infections. It is easy to obtain. It is ideal for repairing large area deep tissue defects in back and upper arms.