早期血流动力学监测在海水中火器伤初步救治中的应用

发布时间：2018-04-21 19:43

本文选题：火器伤 + 海水　；参考：《中国急救医学》2004年06期

【摘要】：目的　探讨海水中火器伤伤后早期血流动力学的变化特点与初步救治 ,为提高海战救治水平及临床应用提供依据。方法　将 16只普通级毕格犬分为海水中致伤组 (n =14 )和地面致伤组 (n =2 ) ;海水组于海水中枪伤后救出 ,连续监测早期 ( 5 3.6 2± 12 .19min)血流动力学变化并采用相应救治措施。地面组作为观察对照。结果　海水组死亡率随头颅、胸、腹、肢体受伤部位不同而呈递减趋势 ,早期血流动力学出现紊乱的时间明显比地面组提前 15min ;黄金小时内死亡率 6 4 .3% ,6h内死亡率 78.6 % ,2 4h后死亡率 85 .7%。结论　海水中火器伤严重影响血流动力学的变化 ,对机体亦有损伤 ;监测黄金小时血流动力学并依据其变化进行临床救治有助于提高早期救治成功率 ,后续治疗也不容忽视
[Abstract]:Objective to investigate the changes of hemodynamics in the early stage after firearm injury in seawater and to provide evidence for improving the level of naval treatment and its clinical application. Methods Sixteen ordinary Biger dogs were divided into two groups: the seawater injury group (n = 14) and the ground injury group (n = 2), and the seawater group was rescued from a gunshot wound in the sea water. The hemodynamic changes in the early stage (53.62 卤12.19 min) were continuously monitored and the corresponding treatment measures were adopted. The ground group served as an observation control. Results the mortality of seawater group decreased with the injury sites of head, chest, abdomen and limbs. The time of early hemodynamic disturbance was significantly earlier than that of the ground group. The mortality rate in golden hours was 64. 3%, 78.6% and 85. 7% within 24 h. Conclusion firearm injury in seawater has serious influence on hemodynamic changes and also damages the body, monitoring the hemodynamics in golden hour and making clinical treatment according to the changes of hemodynamics are helpful to improve the success rate of early treatment. Subsequent treatment should not be ignored.
【作者单位】：中国人民解放军第一军医大学病理学教研室中国人民解放军第一军医大学病理学教研室中国人民解放军第一军医大学病理学教研室中国人民解放军第一军医大学病理学教研室中国人民解放军第一军医大学病理学教研室中国人民解放军第一军医大学病理学教研室中国人民解放军第一军医大学病理学教研室中国人民解放军第一军医大学病理学教研室
【基金】：全军“十五”医药卫生科研基金资助课题 ( 0 1MA12 6)
【分类号】：R826.3

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