Yes, they can be fixed. This is the story of how I repaired the SBEC/ECM in a 1993 Dodge B350 Van with the 5.9 Liter "magnum" engine.
Disclaimer: I may be handy with a soldering iron, but I am not an electronics engineer. This information is provided for entertainment purposes only. While this procedure worked for me I cannot guarantee it is even 10% reliable, much less 100%. Do not attempt on an ECM that you cannot afford to damage, and do not use an a vehicle that you cannot afford to have break down. Please do not email me asking for more information or tips. I have shared what I know below. If you do not know what a MOSFET is or how to desolder, then I cannot help you on those subjects. May I suggest an electronics class at your local college?
Ok, anyway, rant over.... onward!
Symptoms: Misfire, Check Engine Light with "Injector Driver" fault code.
Tools Needed: Multimeter, 1.5 Torx, 2.0 Torx, Razor knife, Needle nose pliers, Soldering Iron, Solder, Solder wick or desoldering tool. Silicone or hot glue gun for reassembly.
Diagnosis steps (check this before you rip into your ECM):
Ok, so now we are down to the fun stuff!
Flip it over and on the back side you can see the traces and the leads of the various components. We are interested in the main connector (at top) and the power transistors (at bottom).
You can identify the power transistors (drivers) near the heat sinks by the typical three pins in a row like this:
The bad driver in my unit was made by Harris Semiconductor, Part # 5234847. I could not find much information on this part, but I believe a comparable cross reference would be a NEC 2SK3484. It is a fast-switching N-Channel power Mosfet. I had to wing it a bit to find something similar at the local electronics shop. Closest I could get was NTE part# NTE2388. Cost: $5.79
Install the new part and reassemble in the reverse order of above. Thoroughly re-pot all disturbed areas using silicone or a hot-melt glue gun.
Reassemble ECM and install in vehicle. Cross fingers, start engine.
In my case anyway, it worked! Enjoy!