摘要
目的：利用图像定量分析技术验证“4C”法在海水浸泡肌组织火器伤坏死组织判定中的应用价值。方法。以滑膛枪发射钢球击中兔后肢，将致伤兔浸泡于人工海水中30min后出水。伤后6～8h以“4C”标准分级判定肌组织活力，利用图像定量分析技术测量坏死肌纤维组织比例，观察损伤肌组织显微病理改变与“4C”标准之间的关系．结果：X2检验显示“4C”标准中与坏死肌组织的相关程度依次为：收缩性、出血、致密度，而颜色与肌组织活力无关。结论：火器伤合并海水浸泡时坏死肌组织的判定应根据肌组织的收缩性、出血、致密度的变化。
Objective: To determine the viability of firearm wounded and seawater soaked muscles in the thigh of rabbits with the '4C' criteria of surgery. Methods:Steel spheres shot With a smooth bore gun hit the thigh of the hind limb of rabbits and then the rabbits were soaked in artificial seawater for 30 min, The viability of the wounded and soaked muscles was assessed wth the '4C' criteria (consistency, contractility, circulation-bleeding, and color) in surgery and the proportion of necrotic muscle was measured with image quantitative analysis. The correlation of the micropathototial changes of the muscles with the '4C' criteria was calculated with chi square. ResuIts:In order to judge the viability of firearm wounded and seawater soaked muscle, its contractility was the most important factor to rely upon and then circulation (bleeding) and consistency of the wounded muscle should be considered. The color of the wounded muscle was least reliable in the judgement of its viability. CohcIusion: The conft8ttility, circulation (bleeding) and consistency of a firearm wounded and seawater soaked muscle should be eonsidered in order to assess its viability.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
1999年第10期723-725,共3页
Journal of Third Military Medical University
基金
全军医药卫生科研基金!96-L004
关键词
海水浸泡
坏死肌组织
火器伤
并发症
seawater soaking
necrotic muscle
firearm wounding
rabbit
