Treatment of
Neonatal Burn by Phenol with MEBO
A neonate just delivered for 10 minutes was
accidentally
burnt by a midwife with phenol with an burnt area of 6% 30 minutes
later.
The newborn manifested polypnea with 68--72
breaths /
minutes, fine raies in both lungs. the heart rate being 174-186 / min,
cold limbs, weak heart sound and cyanosis.
These were manifestations of compensatory stage of
respiration and circulation.
In the afternoon, breathing slowed down, muscle
tone decreased.
The patient was in a critical condition. RBC
5.24x1012/
L. Hb 1669/ L. WBC 20x109/ L. Urine protein (+). granular cast (+),
phenol (+). Diagnosis, neonatal burn by phenol. with secondary
functional failure of multiple viscera.
Treatments wet compress with saturated sodium sulfate followed by the Moist Exposed Burn
Therapy.
The patient was kept in an incubator and calm down
10 minutes after treatment.
Two weeks later. the necrotic tissue became
liquefied
with little secretion. The wounds healed without scar formation.
The
patient was given oxygen inhalation and anti--shock therapy,
transfusion and albumin. After 34 hours, the vital signs became stable.
The case was further treated for another 18 days with wounds and lung
and kidney functions restored and cured. The newborn was
discharged.
3
months later, the newborn was found to be healthy with disappearance
of pigmentation and no scar formation and administered with oral
"moisten extract", once every six hours for 4 successive days, which
might have antidotal and protective actions.
Full Report: Treatment of Neonatal Burn by Phenol
,Luo Lide No.4 Municipal Hospital Zigong, Sichuan,
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