湿热环境下创伤兔应用低温输液疗法的可行性研究

发布时间：2018-03-16 18:16

  本文选题：高温　切入点：创伤　出处：《第一军医大学》2005年硕士论文　论文类型：学位论文

【摘要】：本课题来源:总后勤部“十五”攻关课题资助项目No.01Z100。总课题名称:特殊环境下战创伤护理技术与装备研究。 背景:我军把长江以南的东南沿海省域,如浙江、福建、广东、广西、海南、台湾以及江苏南部、云南南部和西南部海拔在1500m以下的谷地划为热带地区,属湿热气候。这一特殊环境下,创伤感染率高,应激刺激强度大,机体损伤程度重。随着新时期国际局势的变化及我军战略重点的转移,高温高湿环境下战创伤的救治与护理成为我军医疗护理工作的重点。此外,我们所处的广东地区长夏暖冬,夏季炎热多湿,太阳辐射强,平均气温28℃,极端气温38℃～41℃,相对湿度可达85%～98%。尤其是南海诸岛,四周环海,处于典型的湿热海洋气候,空气中的相对湿度高达100%,常年气温30℃以上多达8个月,而且本地区经济发达,工伤交通事故多。因此,加强高温高湿环境下战创伤的救护技术研究有重要的军事和社会意义。 高温、高湿复合因素不仅增加了机体的代谢消耗,较易发生内环境紊乱,还降低了机体在创伤后的应激和抵抗能力,使战创伤的伤情更加严重和复杂。另外,由于高温造成体内水分大量丢失,在伤后失血的基础上,更加重了循环血容量的不足,造成全身各脏器灌注不足。因此,有必要及时给予补液和有效降温措施。而目前现有的降温措施存在着降温效果不稳定(如酒精擦浴、冰帽)、体积大,不易携带(如降温机)或是不易操作(如体外血液冷却法、腹腔低温
[Abstract]:Source: general Logistics Department "15" Project Grant No. 01Z100.General title: research on War Trauma Nursing Technology and equipment under Special circumstances. Background: the southeast coastal provinces south of the Yangtze River, such as Zhejiang, Fujian, Guangdong, Guangxi, Hainan, Taiwan and southern Jiangsu, southern and southwestern Yunnan are classified as tropical areas. It is a humid and hot climate. Under this special environment, the trauma infection rate is high, the stress stimulation intensity is high, and the degree of body damage is serious. With the change of the international situation in the new period and the shift of our army's strategic emphasis, The treatment and nursing of war trauma in high temperature and high humidity environment has become the focus of medical and nursing work of our army. In addition, our Guangdong area is in long summer warm winter, hot and humid summer, strong solar radiation, the average temperature is 28 鈩，

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