本文選題：乳酸林格液 + 復(fù)蘇�。� 參考：《中國(guó)急救醫(yī)學(xué)》2004年10期

【摘要】：目的研究乳酸林格液復(fù)蘇對(duì)彈燒復(fù)合傷海水浸泡動(dòng)物血漿電解質(zhì)及滲透壓的影響,為選擇復(fù)蘇用液體提供理論依據(jù)。方法成功建立彈燒復(fù)合傷海水浸泡動(dòng)物模型后,將14只成年雜種犬隨機(jī)分為彈燒復(fù)合傷海水浸泡組(簡(jiǎn)稱浸泡組,n=8只)和彈燒復(fù)合傷海水浸泡乳酸林格液復(fù)蘇組(簡(jiǎn)稱復(fù)蘇組,n=6只),動(dòng)態(tài)監(jiān)測(cè)傷前、傷后4,7,10,20,28h共6個(gè)時(shí)相點(diǎn)外周動(dòng)脈血鈉、鉀、氯及血漿總滲透壓的變化。結(jié)果彈燒復(fù)合傷后海水浸泡組動(dòng)物血漿電解質(zhì)及滲透壓上升非常明顯,并且貫穿在整個(gè)實(shí)驗(yàn)過程;而采用乳酸林格液復(fù)蘇后,動(dòng)物血漿電解質(zhì)及滲透壓明顯較浸泡組下降。結(jié)論乳酸林格液能糾正彈燒復(fù)合傷海水浸泡所出現(xiàn)嚴(yán)重的高鈉、高氯、高滲血癥。
[Abstract]:Objective to study the effect of Ringer lactate resuscitation on plasma electrolytes and osmotic pressure in marinated animals after combined bullet burn injury and to provide theoretical basis for the selection of fluid for resuscitation.Methods the animal model of projectile burn combined injury in seawater immersion was established successfully.Fourteen adult mongrel dogs were randomly divided into two groups: gunfire combined with seawater immersion group (8 dogs) and elastic burn combined injury group with lactate Ringer solution resuscitation group (6 dogs), and dynamic monitoring before injury.Changes of peripheral arterial blood sodium, potassium, chlorine and plasma total osmotic pressure at 6 time points (4: 7, 10: 20, 20: 28 h after injury).Results the plasma electrolyte and osmotic pressure in the sea water immersion group were significantly increased after the combined injury, and the plasma electrolyte and osmotic pressure were significantly decreased after the resuscitation of Ringer lactate solution in the sea water immersion group, and the plasma electrolyte and osmotic pressure in the seawater immersion group were significantly lower than those in the immersion group.Conclusion Ringer lactate solution can correct the severe hypernatremia, hyperchlorination and hyperosmosis in seawater immersion caused by bomb burn combined injury.
【作者單位】： 中國(guó)人民解放軍第三軍醫(yī)大學(xué)大坪醫(yī)院野戰(zhàn)外科研究所麻醉科 第三軍醫(yī)大學(xué)創(chuàng)傷、燒傷、復(fù)合傷國(guó)家重點(diǎn)實(shí)驗(yàn)室戰(zhàn)傷基礎(chǔ)實(shí)驗(yàn)室第六研究室 中國(guó)人民解放軍第三軍醫(yī)大學(xué)大坪醫(yī)院野戰(zhàn)外科研究所麻醉科
【基金】：全軍“十五”重點(diǎn)課題(01-L011)
【分類號(hào)】：R82

【相似文獻(xiàn)】

相關(guān)會(huì)議論文 前2條

1 蘇學(xué)華;;如何做好暑期應(yīng)急分隊(duì)的衛(wèi)勤保障[A];第四屆全國(guó)災(zāi)害醫(yī)學(xué)學(xué)術(shù)會(huì)議暨第二屆“華森杯”災(zāi)害醫(yī)學(xué)優(yōu)秀學(xué)術(shù)論文評(píng)審會(huì)學(xué)術(shù)論文集[C];2007年

2 曹令;石冰;;戰(zhàn)傷合并海水浸泡組織損傷機(jī)制及治療進(jìn)展[A];中華醫(yī)學(xué)會(huì)整形外科學(xué)分會(huì)第十一次全國(guó)會(huì)議、中國(guó)人民解放軍整形外科學(xué)專業(yè)委員會(huì)學(xué)術(shù)交流會(huì)、中國(guó)中西醫(yī)結(jié)合學(xué)會(huì)醫(yī)學(xué)美容專業(yè)委員會(huì)全國(guó)會(huì)議論文集[C];2011年

相關(guān)碩士學(xué)位論文 前1條

1 閆紅;復(fù)合戰(zhàn)傷合并海水浸泡對(duì)血管內(nèi)皮細(xì)胞止血功能影響的實(shí)驗(yàn)研究[D];第三軍醫(yī)大學(xué);2002年

，

本文編號(hào)：1749714