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。
Objective To observe early effect of field aid on celiac seawater immersion wound in dogs.Methods Fifteen dogs were randomly divided into control group(group A),saline aid group(group B)and composite aid group(group C).Survival time was observed and serum levels of osmotic pressure and lactic acid were measured after celiac seawater immersion in each group.Results ① Average survival time was longer significantly in group C (5.8 h)than that in group A (2.4 h) and B (4.1 h)(P<0.01).② Serum levels of osmotic pressure and lactic acid were decreased in group C [(366.1±8.4)mmol/L and (8.9±1.8)mmol/L,respectively]1 h after celiac seawater immersion (P<0.05),compared with group A[(374.3±11.2)mmol/L and (12.4±3.1)mmol/L,respectively],and levels of lactic acid in group B (10.3±2.1)mmol/L were lower than those in group A (P<0.05).Levels of lactic acid in group C (9.1±1.7)mmol/L were lower than those in group B (11.4±1.9)mmol/L 3 h after celiac seawater immersion (P<0.05).Conclusion Early infusion of hypotonic liquid containing colloid and celiac debridment can reduce hypertonic conditions,improve metabolism and prolong survival time in field aid of celiac seawater immersion wound.
出处
《中国急救医学》
CAS
CSCD
北大核心
2004年第2期79-80,共2页
Chinese Journal of Critical Care Medicine
基金
广州军区后勤类重点课题 (No .2 0 0 1A14 )
关键词
腹部外伤
海水浸泡
战地救治
Celiac wound
Seawater immersion
Field aid
