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目的 :通过对芥子气中毒合并腹部穿透伤的伤情特点和急救的研究 ,为战伤救治提供依据。方法 :实验兔分为手术对照组、芥子气中毒对照组、芥子气中毒合并腹部穿透伤组、芥子气中毒急救合并腹部穿透伤组、芥子气中毒急救合并腹部穿透伤手术救治组共 5组。结果 :中毒合并腹部穿透伤兔未经救治在 2 4h内均死亡 ,经手术及急救后死亡率为 2 5 %。主要死亡原因为枪弹伤所致的腹腔内大出血 ,同时存在腹腔内脏器多处损伤 ,伤情较重。芥子气中毒合并腹部穿透伤未经中毒急救、洗消 ,腹部伤口周围红斑、水肿严重 ,伤情更加复杂。结论 :持久性毒剂芥子气局部中毒合并腹部穿透伤处理与速杀性毒剂中毒急救不一样 ,应先挽救危及生命的内脏器官损伤 ,如胃穿孔及肠系膜血管破裂出血、休克等 ,同时对局部染毒皮肤洗消 ,注意预防并发症。
OBJECTIVE: To provide evidences for the treatment of war-wounded injuries through the research on the characteristics of injuries and the first-aid of mustard gas poisoning combined with abdominal penetrating injuries. Methods: The experimental rabbits were divided into 5 groups: operation control group, mustard gas poisoning control group, mustard gas poisoning combined with abdominal penetrating injury group, mustard gas poisoning emergency with abdominal penetrating injury group, mustard gas poisoning emergency with abdominal penetrating injury operation group. Results: The poisoning and abdomen penetrating rabbits died within 24 hours after operation. The mortality rate after operation and first aid was 25%. The main cause of death was bullet-induced intra-abdominal hemorrhage caused by bullet wounds. In addition, multiple intra-abdominal organs were damaged, resulting in heavier injuries. Mustard gas poisoning with abdominal penetrating injury without poisoning first aid, decontamination, erythema around the abdominal wound, edema, injuries more complicated. Conclusion: The persistent poison mustard gas local poisoning combined with abdominal penetrating wound treatment is not the same as the quick kill poison poisoning emergency, which should save the life-threatening visceral organ injury, such as gastric perforation and mesenteric vascular rupture, shock and so on, Poison the skin to eliminate, pay attention to prevent complications.