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医用紫外线严重灼伤皮肤1例

2018-01-21 佚名 中国烧伤创疡杂志

灼伤紫外线
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中波紫外线常用于治疗银屑病、白癜风、湿疹等皮肤顽症，如防护不当则可造成眼睛、皮肤的灼务。2013年6月笔者采用MEBT/MEBO治疗1例经紫外线照射治疗银屑病时发生全身大面积皮肤灼身的患者，疗效显著，现报道如下。

【病例摘要】

中波紫外线常用于治疗银屑病、白癜风、湿疹等皮肤顽症，如防护不当则可造成眼睛、皮肤的灼务。2013年6月笔者采用MEBT/MEBO治疗1例经紫外线照射治疗银屑病时发生全身大面积皮肤灼身的患者，疗效显著，现报道如下。

【一般资料】

患者，女，62岁，

【个人史】

寻常型银屑病史20余年。

【现病史】

亥患者曾多次在皮肤病专科医院应用中波紫外线全身照射治疗，然而，在第3次照射过程中，患者自觉全身皮肤烧灼样疼痛，医生急予湿敷处理后转入本科。

【体格检查】

患者全身皮肤85%TBSA可见红斑，以前后躯干为著，无水疱。血常规及肝、肾功毙检查均无明显异常。

【治疗经过】

患者入院后，前后躯干部创面予以生理盐水冲洗，均匀涂抹MEBO，厚约1mm，每4h～6h换药1次，换药前将创面残余药物及渗出物拭净；其它部位I度创面直接外涂MEBO，每日换药2~3次。患者入院后清创，创面外涂MEBO后，疼痛明显减轻。治疗第2天，前后躯干部约15%TBSA出现小水疱．创面基底潮红．予以低位引流，并继续规范化换药治疗；3d后去除腐皮，见基底鲜红，继续外涂MEBO治疗；6d后创面自行愈合。其它部位的I度创面治疗3d后。创面颜色转为暗褐色，5d后创面脱屑愈合。

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    2018-01-28 虈亣靌

    多学习才能避免失误.给病人带来实惠

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=282892, encodeId=7eef28289288, content=多学习才能避免失误.给病人带来实惠, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Sun Jan 28 15:37:10 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280973, encodeId=f0e32809e34a, content=很好的文章.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Mon Jan 22 12:10:02 CST 2018, time=2018-01-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280729, encodeId=f8c7280e2947, content=^_^^_^^_^^_^^_^, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Swp2ehfHpiciczeTntUyQOlIGMzQ705ic67sdMTVMbwTv7KbmlUvxrGvRSvQZjPkz7ib5tEDfIaORgczPtmHDpwojg/0, createdBy=c54b2163125, createdName=wqkm, createdTime=Sun Jan 21 18:41:48 CST 2018, time=2018-01-21, status=1, ipAttribution=)]
    2018-01-22 清风拂面

    很好的文章.谢谢分享

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=282892, encodeId=7eef28289288, content=多学习才能避免失误.给病人带来实惠, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Sun Jan 28 15:37:10 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280973, encodeId=f0e32809e34a, content=很好的文章.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Mon Jan 22 12:10:02 CST 2018, time=2018-01-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280729, encodeId=f8c7280e2947, content=^_^^_^^_^^_^^_^, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Swp2ehfHpiciczeTntUyQOlIGMzQ705ic67sdMTVMbwTv7KbmlUvxrGvRSvQZjPkz7ib5tEDfIaORgczPtmHDpwojg/0, createdBy=c54b2163125, createdName=wqkm, createdTime=Sun Jan 21 18:41:48 CST 2018, time=2018-01-21, status=1, ipAttribution=)]
    2018-01-21 wqkm

    ^_^^_^^_^^_^^_^

    0