Zhang H W
People's Hospital of Rongxian County, Sichuan.
Zhonghua Wai Ke Za Zhi. 1993 Feb;31(2):97-8.
Exposure therapy was compared with moist ointment method in 55 patients suffering from middle and large sized burns. Invasive infection occurred in 5 cases among 29 patients who were managed with exposure method, a rate of 17.2%, and one of them died as a result of infection, constituting a mortality rate 3.4%. On the other hand, 11 out of 26 patients (42.3%) who were treated with moist ointment developed septicemia, and 3 patients died of the infection (11.5%). The difference of both rate of invasive infection and mortality was statistically significant between two groups. In order to control the invasive infection we terminated moist ointment therapy in 3 cases, and 2 of them survived. To our opinion, the moist ointment does not do well on third-degree burn, especially in children with large and middle sized burns because of the ensuing rampant infection.
对55例中、大面积烧伤患者进行了暴露疗法与湿润软膏法的比较。采用暴露疗法的29例患者中有5例发生侵袭性感染,发生率为17.2%,其中1例因感染死亡,死亡率为3.4%。另一方面,采用湿润软膏治疗的26例患者中有11例(42.3%)发生败血症,3例死于感染(11.5%)。两组的侵袭性感染率和死亡率差异均有统计学意义。为控制侵袭性感染,我们对3例患者终止了湿润软膏治疗,其中2例存活。我们认为,湿润软膏对三度烧伤效果不佳,尤其是对中、大面积烧伤的儿童,因为会引发严重感染。