Grigor'ev V V, Zaĭtseva K K, Kosachev I D
Arkh Patol. 1983;45(8):64-72.
The time-course of healing of a perforating gunshot wound of soft tissues after primary surgical treatment was studied histologically, histochemically and electron microscopically in 24 rabbits. Throughout the observation period (1-28 days) disorders of the microcirculation, inflammatory reaction, degenerative and necrotic changes, disorders of the ultrastructure and metabolic processes in cells were observed in the wound tissues. Morphological changes developed in the zone of molecular concussion the presence of which delayed healing of the gunshot wound and reduced the efficiency of the primary surgical treatment. The experimental results extend current knowledge of the morpho-functional features of healing of gunshot wounds and indicate the proper choice of rational methods for surgical treatment.
对24只兔子进行了组织学、组织化学和电子显微镜检查,研究了软组织穿透性枪伤在一期手术治疗后的愈合时间进程。在整个观察期(1 - 28天)内,伤口组织出现了微循环紊乱、炎症反应、变性和坏死变化、超微结构紊乱以及细胞代谢过程紊乱。分子震荡区域出现了形态学变化,其存在延迟了枪伤的愈合并降低了一期手术治疗的效果。实验结果扩展了目前关于枪伤愈合形态功能特征的知识,并为手术治疗合理方法的正确选择指明了方向。