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高原 4500 米以上环境下,羊的朝向和距离对爆炸肺损伤特征的影响。

Effects of orientation and distance of goats on blast lung injury characteristics on a plateau above 4500-meter.

机构信息

Department of Weapon Bioeffect Assessment, Research Institute of Surgery, Daping Hospital, Army Medical University, Chongqing, 400042, China; State Key Laboratory of Trauma, Burn and Combined Injury, Army Medical University, Chongqing, 400038, China.

Department of Weapon Bioeffect Assessment, Research Institute of Surgery, Daping Hospital, Army Medical University, Chongqing, 400042, China; State Key Laboratory of Trauma, Burn and Combined Injury, Army Medical University, Chongqing, 400038, China.

出版信息

Chin J Traumatol. 2023 May;26(3):139-146. doi: 10.1016/j.cjtee.2022.09.001. Epub 2022 Sep 17.

Abstract

PURPOSE

High explosives are used to produce blast waves to study their biological effects. The lungs are considered as the critical target organ in blast-effect studies. The degree of lung hemorrhaging is related to both the explosive power and the increased lung weight. We studied the characteristics of the biological effects from an air explosion of a thermobaric bomb in a high-altitude environment and the lethality and lung injury severity of goats in different orientations and distances.

METHODS

Goats were placed at 2.5, 3, 4, and 5 m from the explosion center and exposed them to an air blast at an altitude of 4700-meter. A group of them standing oriented to the right side and the other group seated facing the explosion center vertically. The lung injuries were quantified according to the percentage of surface area contused, and using the pathologic severity scale of lung blast injury (PSSLBI) to score the 4 injury categories (slight, moderate, serious and severe) as 1, 2, 3, and 4, respectively. The lung coefficient (lung weight [g]/body weight [kg]) was the indicator of pulmonary edema and was related to lung injury severity. Blast overpressure data were collected using blast test devices placed at matching locations to represent loadings to goats. All statistical analyses were performed using SPSS, version 26.0, statistical software (SPSS, Inc., Chicago, IL, USA).

RESULTS

In total, 127 goats were involved in this study. Right-side-standing goats had a significantly higher mortality rate than those seated vertical-facing (p < 0.05). At the 2.5 m distance, the goat mortality was nearly 100%, whereas at 5 m, all the goats survived. Lung injuries of the right-side-standing goats were 1 - 2 grades more serious than those of seated goats at the same distances, the scores of PSSLBI were significantly higher than the seated vertical-facing goats (p < 0.05). The lung coefficient of the right-side-standing goats were significantly higher than those of seated vertical-facing (p < 0.05). Mortality, PSSLBI, and the lung coefficient results indicated that the right-side-standing goats experienced severer injuries than the seated vertical-facing goats, and the injuries were lessened as the distance increased. The blast overpressure was consistent with these results.

CONCLUSION

The main killing factors of the thermobaric bomb in the high-altitude environment were blast overpressure, blast wind propulsions and burn. The orientation and distances of the goats significantly affected the blast injury severity. These results may provide a research basis for diagnosing, treating and protecting against injuries from thermobaric explosions.

摘要

目的

高爆炸药用于产生冲击波,以研究其生物学效应。肺部被认为是爆炸效应研究中的关键靶器官。肺出血的程度与爆炸威力和肺重量增加有关。我们研究了高空环境中温压弹空气爆炸的生物学效应特征,以及不同方位和距离的山羊的致死率和肺损伤严重程度。

方法

将山羊放置在距爆炸中心 2.5、3、4 和 5 米处,并在海拔 4700 米处暴露于空气爆炸中。一组山羊向右侧站立,另一组山羊垂直面向爆炸中心坐下。根据挫伤表面积的百分比量化肺损伤,并使用肺爆震伤严重程度病理分级(PSSLBI)将 4 种损伤类别(轻度、中度、重度和严重)分别评分 1、2、3 和 4。肺系数(肺重[g]/体重[kg])是肺水肿的指标,与肺损伤严重程度有关。使用放置在匹配位置的爆炸测试设备收集爆炸超压数据,以代表对山羊的加载。所有统计分析均使用 SPSS 26.0 统计软件(SPSS,Inc.,芝加哥,IL,USA)进行。

结果

本研究共涉及 127 只山羊。右侧站立的山羊死亡率明显高于垂直面向前坐的山羊(p<0.05)。在 2.5 米的距离处,山羊死亡率几乎为 100%,而在 5 米处,所有山羊均存活。右侧站立的山羊在相同距离的肺损伤比垂直面向前坐的山羊严重 1-2 个等级,PSSLBI 评分明显高于垂直面向前坐的山羊(p<0.05)。右侧站立的山羊的肺系数明显高于垂直面向前坐的山羊(p<0.05)。死亡率、PSSLBI 和肺系数结果表明,右侧站立的山羊比垂直面向前坐的山羊受到更严重的损伤,随着距离的增加,损伤程度减轻。爆炸超压与这些结果一致。

结论

高空环境中温压弹的主要杀伤因素是爆炸超压、爆炸风推进和烧伤。山羊的方位和距离对爆炸损伤严重程度有显著影响。这些结果可为诊断、治疗和预防温压爆炸伤提供研究依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e8f/10244254/4989f5e0b8ee/gr1.jpg

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