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目的 :了解降低海水浸泡大批量伤员的死、残率 ,探索海水浸泡火器伤的特点。方法 :犬 80只 ,随机分成两组 ,每组 4 0只 ,分别模拟制作海战时与陆战时火器性多发伤的动物模型。两组局部行彻底清创 ,合理手术 ,有效引流 ,抗休克 ,纠正水电解质平衡失调 ,全身支持疗法 ,应用抗生素 ,高频喷射通气和尼莫通等 ,对两组结果进行比较。结果 :海战组生存率 70 % ,病死率 30 % ;陆战组生存率 80 % ,病死率 2 0 %。结论 :针对海水浸泡伤的特点 ,彻底清创、合理手术、有效引流、多途径联合应用抗生素、高频喷射通气和尼莫通等综合治疗是降低死残率的有效措施和方法
OBJECTIVE: To understand the characteristics of reducing the death and disability of large numbers of wounded people immersed in seawater and exploring the firearms soaked in seawater. Methods: Eighty dogs were randomly divided into two groups (40 rats in each group), which were respectively used to simulate the animal models of firearms multiple trauma at naval warfare and marine warfare respectively. Two groups of local line complete debridement, reasonable surgery, effective drainage, anti-shock, correct water and electrolyte imbalance, systemic support therapy, the use of antibiotics, high-frequency jet ventilation and nimoton, the results of the two groups were compared. Results: The survival rate of sea battle group was 70% and the case fatality rate was 30%. The Marine Group’s survival rate was 80% and the case fatality rate was 20%. Conclusion: In view of the characteristics of seawater immersion injury, thorough debridement, rational operation, effective drainage, multi-channel combination antibiotics, high-frequency jet ventilation and nimotop and other comprehensive treatment is to reduce the rate of residual disability effective measures and methods