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[肢体枪伤中神经干损伤的机制(实验研究)]

[The mechanisms of the injuries to the nerve trunks in gunshot wounds of the extremities (experimental research)].

作者信息

Akimov G A, Odinak M M, Zhivolupov S A, Glushkov B S, Milovanova T Ia

出版信息

Voen Med Zh. 1993 Sep(9):34-6, 80.

PMID:8236897
Abstract

Two series of experimental researches were conducted on rabbits who had received gunshot wounds of the hind pads inflicted by middle and high velocity missiles. On the basis of the data obtained with the help of electroneuromyography, as well as light and electronic microscopy, it was found out the correlation of clinical, electrophysiological and pathomorphological parameters. Morphofunctional changes were disclosed not only in the proper zone of wound, but also at the upper and lower sides of sciatic nerve, as well as in central nerve system (SNS). The results obtained during these researches give the possibility to make a conclusion that coexistent lesions of nerves in gunshot injuries depend on the velocity characteristics of a missile and have compressive-tractive mechanism. "Central disorders" which appear in SNS exert a strong influence on the development of degenerative-regenerative changes.

摘要

对遭受中高速导弹所致后足垫枪伤的兔子进行了两组实验研究。基于通过肌电图以及光学和电子显微镜获得的数据,发现了临床、电生理和病理形态学参数之间的相关性。形态功能变化不仅在伤口的适当区域被发现,而且在坐骨神经的上下两侧以及中枢神经系统(SNS)中也有发现。这些研究中获得的结果使得有可能得出结论,即枪伤中神经的共存损伤取决于导弹的速度特性,并具有压缩 - 牵引机制。SNS中出现的“中枢紊乱”对退行性 - 再生性变化的发展有很大影响。

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