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采用当前的清创方法,研究创伤造成后1小时、6小时和12小时导弹创伤后肌肉组织损伤的程度。

The extent of muscle tissue damage following missile trauma one, six and twelve hours after the infliction of trauma, studied by the current method of debridement.

作者信息

Dahlgren B, Berlin R, Janzon B, Nordström G, Nylöf U, Rybeck B, Schantz B, Seeman T

出版信息

Acta Chir Scand Suppl. 1979;489:137-44.

PMID:291248
Abstract

Spherical missiles with velocities around 1000 m/s were used to inflict missile trauma to one thigh of pigs. The determination of the impact and exit velocities made it possible to calculate the extent of energy transferred to the tissue. About one third of the pigs were treated surgically within one hour after the trauma, one third after a delay of 6 hours and one third after 12 hours. The surgical procedure consisted of debriding muscle tissue which showed impaired contractility and/or consistency and discoloration and/or lack of capillary bleeding - the current criteria of non-viability. The amount of debrided muscle tissue from each wound was weighed and the amount of debrided muscle tissue per joule transferred to the tissue was calculated. As compared to operations performed within one hour the average of the debrided muscle tissue per joule was greater after 6 hours delay and even still greater after 12 hours. However, the difference between the averages after 6 and 12 hours were not statistically significant.

摘要

使用速度约为1000米/秒的球形导弹对猪的一侧大腿造成导弹创伤。通过测定撞击速度和出口速度,可以计算出传递到组织的能量大小。约三分之一的猪在创伤后1小时内接受手术治疗,三分之一在延迟6小时后接受手术,另外三分之一在12小时后接受手术。手术过程包括清除收缩力和/或质地受损、变色和/或无毛细血管出血的肌肉组织,这些是目前判断组织无活力的标准。称取每个伤口清创的肌肉组织重量,并计算每焦耳传递到组织的清创肌肉组织量。与1小时内进行的手术相比,延迟6小时后每焦耳清创的肌肉组织平均量更大,12小时后甚至更大。然而,6小时和12小时后的平均值之间的差异无统计学意义。

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