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Procedure and result with MEBT/MEBO treatment
Scalds by
1000oC hot cement and flame burns secondary to cement
kiln collapse accident, admitted to hospital at 4.5h post injury.
Initial assessment: (1) Burn-blast combined injury; (2) Extensive
deep burns (85% TBSA); (3) Severe inhalation injury; (4) Shock;
(5) Open multiple fractures on both feet.
| Critical
and shock on admission. Extensive deep burn wounds, covered
by ce ment powder. Singed nasal hairs, cement inhaled, respiratory
abnormality and hoarseness. Perform tracheotomy immediately
before MEBT/MEBO treatment on wound by cultivating technique
combined with systemic management . Histological examination
showed third degree burns. |
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Before Treatment
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| 1.
Removing putrid tissue from surface of necrotic skin |
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2.
After cultivating and loosing burned skin, applying MEBO on
wound under the treatment of MEBT |
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3. Liquefaction of necrotic tissue, clearing away liquefied
products in time |
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4.
Necrotic tissue being liquefied and discharged, viable burn
tissue being retained, granulation forming above subcutaneous
tissue along with presence of new skin spots |
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| 5.
Continuing MEBT/MEBO treatment. Under the protection of MEBO,
sparse skin spots (regenerated skin) being present over granulation
surface of wound |
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6.
Skin-spot gradually spreading into skin tissue lumps and various
skin tissue lumps fuse each other |
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| 7.
Various regenerative skin tissue lumps fusing to form larger
skin tissues |
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8.
In the region of fused skin, anatomico-physiological structure
of blood vessels of subcutaneous tissue being observed |
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| 9.
All wounds covered with re generated skin to close. New skins
similar to auto skin regenerate over burn wounds deep into subcutaneous
tissues and recovers to skin structure and functions as well |
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After treatment |
10.
On 72nd day post-burn, wound regenerates and repairs to heal
with full-thick ness Follow-up after one year indicating self-reliance,
neither plastic surgery nor disablement
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MEBT/MEBO treating facial III-degree
burns
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