安徽医科大学附属医院(230022) 陈旭林 王永杰 陈侠英 孙业祥

    [摘 要] 目的：鉴于目前尚无理想的脱痂药物，作者将MEBO用于Ⅲ°焦痂了解其是否具有良好的脱痂作用。方法：将我科近2年30例住院烧伤患者用MEBO进行Ⅲ度焦痂脱痂，观察脱痂过程、脱痂后肉芽组织的植皮存活率、全身情况、疼痛、血象和肝肾功能的改变等指标。结果：所有病例均在用药后2～4天脱痂并形成肉芽组织，脱痂完整迅速，炎症反应轻微，全身反应亦轻，疼痛好转部分消失，植皮存活率高，无毒副作用。结论：MEBO是目前较为理想的Ⅲ°脱痂药物。

    [关键词] MEBO 烧伤 脱痂

    Clinical Observation on the Decrustation Effect of MEBO Chen Xulin et al. The Affiliated Hospital of Anhui Medical University 230022

    [Abstract] MEBO was used for treating 32 cases of burn with third degree eschar. Decrustation was achieved in 2 to 4 days after the application of MEBO and granulation tissue was formed. Decrustation was very complete. The inflammatory reaction and systemic response were very slight. Pains were relieved. The survival rate of skin grafting was high and no toxic side effect was observed. MEBO is ideal for use as a decrustation agent for removing third degree eschars.

    [Key words] MEBO burn decrustation

    Ⅲ°烧伤传统采用手术切痂植皮的方法修复创面 ......