Код:

Option Explicit
Sub Sample()
Const adTypeBinary = 1
Const adSaveCreateOverWrite = 2
Dim strFindString As String
Dim strReplaceString As String
Dim arrHex() As String
Dim arrFind() As Byte
Dim arrReplace() As Byte
Dim i As Long, j As Long
Dim arrContent() As Byte
Dim bFound As Boolean
Dim lngOffset As Long
' «This program cannot be run in DOS mode.»
strFindString = "54 68 69 73 20 70 72 6F 67 72 61 6D 20 63 61 6E 6E 6F 74 20 62 65 20 72 75 6E 20 69 6E 20 44 4F 53 20 6D 6F 64 65 2E"
strReplaceString = "FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF"
' Convert hex values from find string to Byte Array
arrHex = Split(strFindString)
ReDim arrFind(UBound(arrHex))
For i = 0 To UBound(arrHex)
arrFind(i) = CByte("&H" & arrHex(i))
Next i
' Convert hex values from replace string to Byte Array
arrHex = Split(strReplaceString)
ReDim arrReplace(UBound(arrHex))
For i = 0 To UBound(arrHex)
arrReplace(i) = CByte("&H" & arrHex(i))
Next i
' Read content from file to Byte Array
With CreateObject("ADODB.Stream")
.Type = adTypeBinary
.Open
.LoadFromFile "C:\Мои проекты\0262\accessibilitycpl.dll"
arrContent = .Read()
' Search find Byte Array in content of file
For i = 0 To UBound(arrContent)
bFound = True
For j = 0 To UBound(arrFind)
If arrContent(i + j) <> arrFind(j) Then
bFound = False
Exit For
End If
Next j
If bFound Then
lngOffset = i
Exit For
End If
Next i
' If found — replace part by replace Byte Array
If bFound Then
.Position = lngOffset
.Write arrReplace
.SaveToFile "C:\Мои проекты\0262\accessibilitycpl3.dll", adSaveCreateOverWrite
Else
MsgBox "Can't find source string", vbExclamation + vbOKOnly, "Not found"
End If
End With
End Sub