RU2176510C2 - Method of burn treatment - Google Patents

Abstract

FIELD: medicine, dermatology. SUBSTANCE: burn wound is powdered with tripolite up to scab formation. Then scab is smeared with emulsion prepared of tripolite and fatty component up to formation of new skin. EFFECT: accelerated healing burn wounds without scar formation.

Description

 The invention relates to medicine and can be used to treat burns.

 Known methods for treating burn wounds by applying drugs to the surface of the wound. For burns of III degree A in the phase of purulent inflammation and rejection of the surface scab, solutions of antiseptics are used [1]. As the exudative phenomena subside after the rejection of the necrotic scab and the beginning of epithelization, ointments and emulsions are used.

 Burns of III degree A usually heal in a period of 4 to 6 weeks, but with damage to the deeper layers of the dermis, this process lasts up to 3 months and after healing, scarred skin changes to a different extent remain, which becomes insufficiently resistant to mechanical stress.

 A known method of treating purulent infected wounds by applying to the wound surface a sterile material and silica-containing mineral, in particular diatomite or tripoli [2].

 Due to the hygroscopic nature of this material, the purulent discharge from the wound is well absorbed, the putrefactive odor is eliminated and the scab forms quickly. In this case, the silica-containing mineral is not a breeding ground for bacteria.

 However, when changing the sterile material, it sticks to the wound.

 The invention is aimed at expanding the arsenal of methods for treating burns.

 This is achieved by treating the surface of the wound with tripoli, and treating with tripoli is carried out by dusting the wound until a scab forms, after which the surface of the scab is lubricated with an emulsion consisting of tripoli and a fat component.

The following materials were used to prepare the emulsion:
Tripoli of the Pervomaisky deposit in the Alatyr district of the Chuvash Republic, containing,%: silicon oxides 60.3 - 72.5; iron 2.8 to 4.2; aluminum 8.4-10.1; calcium 2.6-12.3; magnesium 0.9 - 1.3; sodium 0.18 - 0.29; potassium 1.4 - 1.5;
tripoli of the Shadrinsk deposit of the Kurgan region, containing,%: silicon oxides 57.3-68.9; iron 4.4-8.4; aluminum 11.2-20.8; calcium 0.1-2.3; magnesium 1.6-3.0.

 From trace elements in tripoli contain: copper, molybdenum, fluorine, manganese, phosphorus. Heavy metals (arsenic, cadmium, mercury) are not contained.

Sea buckthorn oil - FS 42-1730-95
Petroleum jelly - GF Xth ed., Article 481
Olive Oil - VFS 42-1776-92
Fish oil - GF Xth ed., Article 476
Distinctive features of the proposed solution from the known one is the direct dusting of the purulent surface of the wound with tripoli, which contributes to the rapid absorption of the purulent contents of the wound, drying and healing with rapid layering of granulation and rapid epithelization. Tripoli does not dissolve when combined with wound secretion and does not enter the body in the form of decay products.

 After the formation of a scab, its surface is lubricated with an emulsion consisting of tripoli and a fat component. At the same time, granulation continues, and the resulting dry crusts quickly soften and peel off easily, leaving skin clean without collagen scars.

 The method is illustrated by the following examples.

 Example 1

 Patient R., 39 years old, was admitted with burns by the fire of her hands and face. At the time of treatment, the burns were blisters with purulent discharge. After the liquid was released from the bubbles, the surface was treated with atomic oxygen and abundantly sprinkled with tripoli, after which they were bandaged. This treatment was carried out twice a day and lasted 5 days until dry crusts formed on the affected surface, after which the surface was smeared with sea buckthorn oil emulsion with tripoli. Emulsion treatment lasted for 10 days before removing the last crusts. The face is clean, without scars, skin color without features.

 On the hands the crusts came off later, there were small scars from the wrist to the thumb. On the back of the palm is a large spot of fair skin and small yellow spots. Hands, fingers are functioning normally. The palms of both hands are clean, without features.

 Example 2

 Patient K., aged 1 year 8 months, received burns with boiling water on the left side of the body, starting from the shoulder to the foot. On the left hand, a burn of the 3rd degree, on the remaining surface of the body burns of the 1st and 2nd degree. For four months he underwent in-patient treatment with streptocytic emulsion, aloe, rivanal, received two skin transplants from his mother to his left arm.

On the day the treatment was started, the 1st and 2nd degree burns healed, but the graft on the arm did not take root well, a fungic ulcer formed around it with an area of about 15x6 cm on both sides of the elbow bend. On the entire surface of the ulcer, a large amount of liquid purulent discharge. Body temperature 38 ^o C, no appetite, the skin around the ulcer is macerated
Treatment: the affected surface was treated with a solution of potassium permanganate and hydrogen peroxide, then abundantly sprinkled with tripoli powder and covered with gauze. A day later, the pain decreased, on the edges of the wound appeared areas of pink skin. After a week, the child’s well-being improved significantly, and mobility of the arm partially restored. The wound healed from the edges with smooth pink skin. At the graft sites, the purulent compartment gradually decreased. After the disappearance of maceration, the wounds stopped powdering it with tripoli. The resulting crust was lubricated with an emulsion of tripoli and fish oil. The treatment lasted 5 weeks. The wound healed without leaving scars on the skin. The mobility of the hand and fingers fully recovered.

 Example 3

 Patient M., 50 years old, received burns with boiling water of the face, neck, right side of the chest and abdomen to the level of the belt.

 Tripoli treatment was started on the 3rd day after a burn in the following condition of the patient: a continuous bladder on the face, eyes and mouth do not open, the skin turned black, purulent discharge on the face, neck and chest, as well as severe pain.

 Perforated blisters and escudate. Conducted abundant tripoli powder until the cessation of wetting. In the following days, tripoli was removed in those places where it got wet and was replaced with fresh atomic oxygen after treatment of these places. Such treatment continued until a scab formed. Then the scab was lubricated with an emulsion consisting of tripoli and boiled vegetable oil.

 Healing proceeded under the crust, where healthy granulations developed, in the direction from the periphery to the center of the lesion. When young pink skin was formed under the edge of the crust, the crust was removed by circumcision. The treatment ended with the formation of healthy skin without collagen scars and any other burn marks. The treatment lasted 3 weeks.

 From the above examples, it follows that when using the proposed method there is a fairly rapid healing of purulent wound surfaces caused by burns. In this case, the regeneration of cellular elements is not delayed and the entry of decay products into the body is impeded. After treatment, pink skin forms without scars.

Sources of information
1. Struchkov V.I. General Surgery, 5th ed. M .: Medicine, 1983. 591 p.

 2. Smirnov P.P. Diatomitis and Tripoli in the treatment of purulent infected wounds // Soviet Surgery. N 3. 1935. S. 51-55.

Claims (1)

 A method of treating burn wounds, including treating the surface of a wound with tripoli, characterized in that treatment with tripoli is carried out by dusting the wound until a scab is formed, after which the resulting scab is lubricated with an emulsion consisting of tripoli and a fat component, until a new skin is formed.