Xia S F
Burn Institute, Third Military Medical College.
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1991 Jun;7(2):128-31, 159.
Male Wistar rats were divided into three groups. Group 1 consisted of uninjured normal rats. Animals in groups 2 and 3 were inflicted with 20-30% third degree phosphorus burn. Group 2 served as control without cleansing, and group 3 animals were washed with various fluids postburn. There were five subgroups in group 3: Subgroup I, the wound was washed with water (fluid I); Subgroup II. 1% detergent solution was used (fluid II); Subgroup III, 5% NaHCO3 was applied after being washed with 2% CuSO4 (fluid III); Subgroup IV, 2% CuSO4 was used only (fluid IV); Subgroup V, water was used after the application of 2% CuSO4. The results showed: 1. The tissue phosphorus and serum BuN values were decreased markedly immediately and 6 h postburn when fluid II was used. It was demonstrated that the detergent was more effective than fluids I and III. Therefore we proposed that a detergent should be used to wash off phosphorus from the wound. 2. The serum copper value increased immediately after the application of 2% CuSO4. However, the serum copper value decreased significantly after the use of NaHCO3. The results suggest that copper poisoning can possibly occur when CuSO4 is used alone, and NaHCO3 solution is effective to wash off CuSO4.
雄性Wistar大鼠被分为三组。第一组由未受伤的正常大鼠组成。第二组和第三组的动物遭受20%-30%的三度磷烧伤。第二组作为未清洗的对照组,第三组动物在烧伤后用各种液体冲洗。第三组有五个亚组:亚组I,伤口用水冲洗(液体I);亚组II,使用1%的洗涤剂溶液(液体II);亚组III,在用2%硫酸铜冲洗后应用5%碳酸氢钠(液体III);亚组IV,仅使用2%硫酸铜(液体IV);亚组V,在应用2%硫酸铜后用水冲洗。结果显示:1. 使用液体II时,组织磷和血清尿素氮值在烧伤后即刻和6小时显著降低。结果表明,洗涤剂比液体I和III更有效。因此我们建议应使用洗涤剂冲洗伤口上的磷。2. 应用2%硫酸铜后血清铜值即刻升高。然而,使用碳酸氢钠后血清铜值显著降低。结果表明,单独使用硫酸铜可能会发生铜中毒,碳酸氢钠溶液对冲洗掉硫酸铜有效。