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| 海水中肢体枪击伤后早期血流动力学变化与基础救治研究 | |
| 引用本文： | 孟辉,申洪,李乃斌,刘高望,张鋆歆,吴正蓉,卜海激. 海水中肢体枪击伤后早期血流动力学变化与基础救治研究[J]. 创伤外科杂志, 2010, 12(1): 68-71 |
| 作者姓名： | 孟辉 申洪 李乃斌 刘高望 张鋆歆 吴正蓉 卜海激 |
| 作者单位： | 1. 兰州军区兰州总医院普胸外科,甘肃,兰州,730050 2. 南方医科大学病理学教研室,广东,广州,510515 |
| 基金项目： | 全军“十五”医药卫生科研基金资助课题(01MA126) |
| 摘 要： | 目的探讨自然海水中火器伤血流动力学的变化特点,为海水中火器伤救治措施的制定提供模拟实际海战的实验依据。方法普通级毕格犬17只随机分为海水中致伤组(n=14)和地面致伤组(n=3)。海水组于海水中枪伤后救出,连续监测早期(53.62±12.19)分钟血流动力学变化及肛温,并采用基础救治;地面组为观察对照。结果海水中枪击伤伤后70分钟内:呼吸(R)和心率(HR)的变化趋势一致,30分钟R[(22.75±2.48)bpm]和HR[(151.00±49.93)bpm]较慢,伤后50分钟时R[(40.67±3.59)bpm]和HR[(204.03±14.08)bpm]较快,二者整体呈跳跃式加快;30分钟时收缩压(SBP)[(138.68±17.93)mmHg]、舒张压(DBP)[(97.60±18.82)mmHg]、平均动脉压(MAP)[(111.33±14.57)mmHg]较低,40~55分钟时变化幅度和波动范围比较大,60~70分钟虽有变化但波动范围小;中心静脉压(CVP)于伤后35~45分钟持续升高并达峰值,之后波动范围不大。海水中枪击伤机体体温下降比地面伤快。结论海水中枪击伤后应尽快补充容量,尽早监测血流动力学、体温,注意保温。 |
| 关 键 词： | 火器伤 肢体 血流动力学 远隔效应 体温 |
Study on the hemodynamic changes and treatment of gunshot wound in seawater |
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| MENG Hui,SHEN Hong,LI Nai-bin,et al.. Study on the hemodynamic changes and treatment of gunshot wound in seawater[J]. Journal of Traumatic Surgery, 2010, 12(1): 68-71 | |
| Authors: | MENG Hui SHEN Hong LI Nai-bin et al. |
| Affiliation: | Department of Thoracic Surgery;Lanzhou General Hospital;Lanzhou Command;Lanzhou 730050;China |
| Abstract: | Objective To explore the characteristics of hemodynamic changes and offer simulated experimental foundations for treatment measures of the gunshot wound in natural seawater.Methods Fourteen Beagles models of gunshot wound in seawater were established,and another 3 dogs receiving the wound without seawater immersion were taken as control group.After the dogs injured in seawater,the respiration(R),rectal temperature(T),heart rate(HR),systolic blood pressure(SBP),diastolic blood pressure(DBP),mean arterial pre... |
| Keywords: | firearm wounds limb hemodynamics remote effects body temperature |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |