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声门紧闭下肺撞击伤发生特点的实验研究
引用本文:吴秋平,蒋耀光,陈邦菊,闵家新.声门紧闭下肺撞击伤发生特点的实验研究[J].重庆医学,2004,33(11):1676-1678.
作者姓名:吴秋平  蒋耀光  陈邦菊  闵家新
作者单位:第三军医大学新桥医院胸外科,重庆,400037;第三军医大学大坪医院野战外科研究所全军战创伤中心,重庆,400042
摘    要:目的对比研究声门紧闭与开放状态下肺撞击伤的损伤特点.方法以不同驱动压和压缩量撞击108只新西兰大白兔右侧胸部,其中声门紧闭与开放组各54只,造成闭合性胸部创伤.结果不同撞击条件可引起不同程度的胸部创伤,声门紧闭状态下撞击致兔肺撞击伤的AIS分值显著高于声门开放状态下的AIS分值(P<0.05).结论肺撞击伤的发生特点:伤情加重、死亡率增加、更早的发生创伤性急性肺损伤.在撞击条件相同情况下,声门紧闭状态下肺撞击伤伤情大于声门开放状态.

关 键 词:胸部创伤  撞击伤
文章编号:1671-8348(2004)11-1676-03

An experimental study on the characteristics of lung impact injury under the glottis closure
WU Qiu-ping ,JIANG Yao-guang ,CHENG Bang-ju ,et al..An experimental study on the characteristics of lung impact injury under the glottis closure[J].Chongqing Medical Journal,2004,33(11):1676-1678.
Authors:WU Qiu-ping  JIANG Yao-guang  CHENG Bang-ju  
Institution:WU Qiu-ping 1,JIANG Yao-guang 2,CHENG Bang-ju 1,et al.
Abstract:Objective To compare the characteristics of lung impact injury under the closure and open states of glottis. Methods One hundred eight rabbits were impacted in the right chest with various drive pressures and compress percentage resulting in closed thoracic trauma. Results Different impact conditions caused different degrees of thoracic trauma. AIS values of the closure group were significantly higher than that of the open group (P<0.05). Conclusion Severity of injury, increased mortality and earlier occurrence of traumatic acute lung injury were the characteristics of lung impact injury under glottis closure state.
Keywords:thoracic trauma  impact injury
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