湿润烧伤膏治疗皮肤挫擦伤后溃疡的临床体会-中国烧伤创疡杂志.PDFVIP

中国烧伤创疡杂志2012年第24卷第6期　 The ChineseJournal of BurnsWounds Surface Ulcers2012 Vol．24 No．6 ·485 · 体表溃疡创面研究与治疗 Research and Treatment of Surface Ulcerative Wounds 湿润烧伤膏治疗皮肤挫擦伤后溃疡的临床体会 Clinical Experience with MEBO in the Treatment of Skin Ulcer Resulting from Abrasion and Contusion 刘　 刚　 徐　 烨　 陶　 健 LIU Gang,XU Ye,TAOJian 作者单位:225118　 江苏　 扬州, 江苏省扬州市邗江区方巷镇黄珏社区卫生院 Affiliations: Huangyu Community Health Service Center,Fanggang Town,Hanjiang District,Yangzhou City,Jiangsu225118,China 【摘要】 　 目的　 探讨湿润烧伤膏 (MEBO) 治疗皮肤挫擦伤后溃疡的临床效果。 方法　 患者右小腿内侧下 段挫擦伤后溃疡创面大小约4．0 cm×2．3 cm, 给予生理盐水清创, 拭干后外涂MEBO, 约3 mm~4 mm厚, 每日1 次。 结果　 20 d后复诊, 创面边缘有新生上皮组织向中心爬行, 继续换药治疗; 37 d后复诊, 创面完全愈合; 60 d后复诊, 创面无瘢痕, 无色素沉着。 结论　 皮肤挫擦伤后溃疡, 应用MEBO治疗, 可促进创面愈合, 疗效较 好, 值得临床推广应用。 【关键词】 　 MEBO; 皮肤挫擦伤; 溃疡; 临床疗效 【标识符】 　 doi: 10．3969/j．issn．1001-0726．2012．06．015 【文章类型】 　 个案报道 【Abstract】 　 Objective　 Todiscusstheclinicaleffectof MEBO (MoistExposedBurnOintment)intreatingskinul- cer resulting from abrasion and contusion. Methods　 One ulcer (4．0 cm ×2．3 cm) formed at the lower interior part of right leg due to the abrasion and contusion wasfirstly debridedusing normal saline,andthen,after thewaterwaswiped a- way,MEBOwas smeared on the ulcer at a thickness of 3 mm~4 mm,once per day. Results　 During the review20 days after the treatment,it was observed that there was new epithelial tissue growing towards the wound center from the lateral margin. ContinuetouseMEBOtochangedressing. 37 dayslater,thewoundhealedcompletelyand60 dayslater,therewas no scar formation andpigmentation. Conclusion　 ApplyingMEBOtotreattheskinulcerresultingfromabrasionandcontu- sion can realize goodwound healing outcomes. 【Key wo