Papp A, Romppanen E, Lahtinen T, Uusaro A, Härmä M, Alhava E
Department of Surgery, Kuopio University Hospital/2214, P.O. Box 1777, FIN-70211 Kuopio, Finland.
Burns. 2005 Dec;31(8):1003-6. doi: 10.1016/j.burns.2005.06.010. Epub 2005 Nov 8.
Oedema formation and changes in local blood flow are known phenomena in burns. The relationship between these two is not clearly described. The aim of this study was firstly to examine both the contents of red blood cells and tissue water in skin and subcutaneous fat after experimental burns of different depths in pigs, and secondly, to confirm our recent findings of the increased dielectric constant of skin and subcutaneous fat reflecting considerable oedema formation, especially in fat after thermal injury.
Superficial, partial and full thickness contact burns were created to pigs and followed for 24h. Radioactive Cr-51 labelling of red cells was used to estimate the number of red cells in tissue, and the absolute amount of water was determined by lyophilization.
A decreased number of labelled red cells in skin and an increase in tissue water in subcutaneous fat were found regardless of burn depth. The highest water amount in fat was found in the partial thickness burns.
All burn depths resulted in a diminished number of labelled red blood cells in skin and a significant increase in the absolute water amount in subcutaneous fat at 24h post injury. The findings in fat support our recent findings of highly elevated dielectric constants measured by the new in vivo method of dielectric measurements.
水肿形成和局部血流变化是烧伤中已知的现象。这两者之间的关系尚未得到清晰描述。本研究的目的首先是在猪身上进行不同深度的实验性烧伤后,检测皮肤和皮下脂肪中红细胞含量及组织水分,其次是证实我们最近的发现,即皮肤和皮下脂肪的介电常数增加反映了明显的水肿形成,尤其是热损伤后的脂肪。
对猪造成浅度、部分厚度和全层接触烧伤,并观察24小时。使用放射性铬-51标记红细胞来估计组织中的红细胞数量,通过冻干法测定水的绝对含量。
无论烧伤深度如何,均发现皮肤中标记红细胞数量减少,皮下脂肪组织水分增加。部分厚度烧伤的脂肪中水分含量最高。
所有烧伤深度均导致伤后24小时皮肤中标记红细胞数量减少,皮下脂肪绝对含水量显著增加。脂肪中的这些发现支持了我们最近通过新的体内介电测量方法测得的介电常数大幅升高的发现。