海水中肢体枪击伤后早期血流动力学变化与基础救治研究.docVIP

海水中肢体枪击伤后早期血流动力学变化与基础救治研究 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：海水中肢体枪击伤后早期血流动力学变化与基础救治研究 2 1 一般情况 3 2 实验动物 3 3 模型制备与监测指标 3 4 救治措施 4 5 统计学方法 4 1 伤亡情况 5 2 血流动力学变化 5 3 海水中枪击伤体温的变化 6 1 海水中枪击伤R和HR的变化 6 2 海水中枪击伤血流动力学的变化 6 3 海水中枪击伤后体温的变化 7 文2：辨证治疗踝部闭合骨折早期肢体肿胀的疗效观察 7 1 临床资料 8 2 治疗方法 8 4 讨论 9 参考文摘引言： 10 原创性声明（模板） 11 文章致谢（模板） 12 正文 海水中肢体枪击伤后早期血流动力学变化与基础救治研究 文1：海水中肢体枪击伤后早期血流动力学变化与基础救治研究 Abstract： Objective To explore the characteristics of hemodynamic changes and offer simulated experimental foundatio for treatment measures of the guhot wound in natural Fourteen Beagles models of guhot wound in seawater were established,and another 3 dogs receiving the wound without seawater immeion were taken as control the dogs injured in seawater,the respiration (R),rectal temperature(T),heart rate (HR),systolic blood pressure (SBP),diastolic blood pressure (DBP),mean arterial pressure (MAP),central venous pressure (CVP) of dogs following guhot wound were measured continually within the (±),the treatment measures were Within 70 minutes following injury in seawater,the result showed: the changing trends of R and HR were identical,more slowly within 30～40 minutes and rapidly at 50 minutes in natural seawater;the whole changes of the R and HR leaped increasingly as the duration of time lengthened;the SBP,DBP and MAP were lower at 30 minutes and their fluctuation scopes were larger within 40-55 minutes,but smaller within 60-70 minutes;the CVP increased gradually from 35 to 45 minutes and then peaked (7 mmHg),and then the fluctuation scope of the CVP was not large;the body temperature declined more rapidly than that in the control Rapid fluid infusion,monitoring both the hemodynamics and temperature and strengthening heat preservation should be carried out at early stage in Beagle dogs undergoing firearms wound. Key words：firearm wounds;limb;hemodynamics;remote effects;body temperature 血流动力学指标是指导创伤救治的重要依据。有关自然海水中发生枪击伤的血流动力学变化的特点和 规