腹腔海水浸泡伤战地救治的早期效果观察

发布时间：2018-05-15 13:27

本文选题：腹部外伤 + 海水浸泡　；参考：《中国急救医学》2004年02期

【摘要】：目的　观察野战环境战地救治对腹腔海水浸泡伤实验犬生存的影响。方法　杂种犬 15只 ,随机均分为对照组 (A组 )、生理盐水救治组 (B组 )及综合救治组 (C组 ) ,观察每一组腹腔海水浸泡后的存活时间及血浆渗透压、乳酸水平变化。结果　①C组平均存活时间 (5 8h)显著长于A(2 4h)、B(4 1h)两组 (P 0 0 1) ;②腹腔海水浸泡后 1hC组血浆渗透压(36 6 1± 8 4 )mmol/L、乳酸 (8 9± 1 8)mmol/L水平均显著低于A组〔分别为 (374 3± 11 2 )mmol/L、(12 4± 3 1)mmol/L〕(P 0 0 5 ) ,B组乳酸 (10 3± 2 1)mmol/L水平也显著低于A组 (P 0 0 5 ) ;腹腔海水浸泡后 3hC组乳酸 (9 1± 1 7)mmol/L水平显著低于B组 (11 4± 1 9)mmol/L(P 0 0 5 )。结论　腹腔海水浸泡伤战地早期补入低张胶体液及进行腹腔清创有助于缓解机体高渗状态 ,改善机体代谢 ,延长创伤动物生命。
[Abstract]:Objective to observe the effect of field treatment on survival of dogs with peritoneal seawater immersion injury. Methods Fifteen mongrel dogs were randomly divided into control group (group A), saline group (group B) and comprehensive treatment group (group C). The survival time and plasma osmotic pressure after seawater immersion in each group were observed. Changes in lactic acid levels. Results (1) the mean survival time of group C (58 h) was significantly longer than that of group A (24 h) (P < 0.01). 2 the plasma osmotic pressure and lactate concentration in 1hC group were significantly lower than those in group A (36.61 卤8.4nmol / L, 8.9 卤1 8)mmol/L) after seawater immersion in abdominal cavity (12.4 卤3 1)mmol/L)(P / L), respectively. The level of lactic acid in group B was 10 3 卤2. The level of 1)mmol/L was also significantly lower than that of group A (P 0.05). After celiac seawater immersion, the level of lactic acid in 3hC group was significantly lower than that in group B (11 4 卤1 9)mmol/L(P 0 05). Conclusion the hypotonic colloid solution and peritoneal debridement are helpful to relieve the hyperosmotic state, improve the metabolism and prolong the life of traumatized animals.
【作者单位】：中国人民解放军第157医院普通外科中国人民解放军第157医院普通外科中国人民解放军第157医院普通外科中国人民解放军第157医院普通外科中国人民解放军第157医院普通外科中国人民解放军第157医院普通外科中国人民解放军第157医院普通外科中国人民解放军第157医院普通外科
【基金】：广州军区后勤类重点课题 (No .2 0 0 1A14 )
【分类号】：R826

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