RU1822803C - Method of necrectomy of combustion crusts - Google Patents

Abstract

Usage: incombustiology. The essence of the invention: in the area of a burn scab, 3-4 days after injury with a scalpel, several notches are applied to the entire depth of the scab, then a cloth moistened with 1.5 ml of a 0.1% solution of karipazim, previously irradiated with a helium-neon laser with a density of power 100 mW / cm for 1 s (twenty times with intervals between exposures of 6 s). Put gepny effect: 3 times reduces the time of rejection of burn scabs

Description

The invention relates to medicine, in particular to combustiology, and can be used to treat patients with burns of the skin of the ST grade.

The purpose of the invention is to reduce the time for complete rejection of the necrotic scab due to burns on the skin surfaces of STs of a degree of thermal and laser origin.

The method is carried out as follows.

3-4 days after applying a burn of the ST skin integument, several (5-10 notches to the entire depth of the scab are applied with a scalpel on a burn scab). A few minutes before this, a sterile 0.1% solution of caripazim on distilled is prepared in a penicillin vial This solution is then irradiated with helium-neon laser rays, directing light through a hole in a penicillin vial, fractionally 1 second twenty times with an interval between exposures of 6 seconds. The total dose of absorbed energy in this irradiation method is up to about 2.5 J / cm. After irradiation, the vial is closed and the karipazim solution is ready for use. Next, sterile wipes are moistened with this solution, which are then applied to the localization sites of the burn stings. evaporation of the proteolytic Enzyme solution. A dry dressing is applied over the cellophane. The dressing along with the lysed and rejected necrotic tissues is removed 24 hours after its application.

Example. Sick E., 30 years old. Burn with boiling inner surface of the thigh of the 2nd degree, CA, ST degree, The area of the burn of ST degree is 24 cm2. Four days later, in the area of the formed scab, 8 notches up to 1 cm long were applied with a scalpel through the entire thickness of the scab. Then, on the burn

WITH/

with

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N K O

with

CA

the surface is covered with a sterile cloth moistened with a 0.1% solution of karipaime, previously irradiated in a penicillin vial with a helium-neon laser, in fractions of 1 second twenty times at intervals of 6 seconds between irradiations. The energy power density on the solution surface is 100 mW / cm2, and the total dose of absorbed energy is up to 2.5 J / cm2. A sterile cellophane film and an aseptic dressing were applied over the napkin. After 24 hours, the dressing was removed, the post-burn scab was completely lysed.

The proposed method allows reducing the time of necrolysis of post-burn scabs of thermal and laser origin by 3 times.

Claims (1)

The claims A method of necrectomy of burn scabs by exposure to enzymes of plant origin, characterized in that, in order to reduce the time of rejection, an enzyme is used as a 0.1% solution of karipaime pre-irradiated with a helium-neon laser with a power density of 100 mW / cm twenty times for 1 at intervals between exposures of 6 s.