高原火器伤并发休克经颈外静脉插管输液的实验研究  

Study of transfusion by external jugular vein intubation for bullet wounds complicating shock in plateau area

作　　者：李敏[1] 陈家臻[1] 汤逊[1] 李光全[1] 

机构地区：[1]中国人民解放军成都部队昆明总医院

出　　处：《中华护理杂志》1994年第12期711-713,共3页Chinese Journal of Nursing

摘　　要：选择高原移居犬、高原世居犬、平原犬各３０只，用枪弹致犬双后肢伤并发休克的模型，观察３４００ｍ以上高原条件下颈外静脉穿刺输液的特点。实验结果提示：①高原条件下为预防硅胶管内凝血使用肝素液抗凝封管浓度应较平原高；②硅胶管内径的大小（１．５、２．０ｍｍ）与穿刺成功率无关，１．５ｍｍ内径的硅胶管输液速度最快达１６０滴／ｍｉｎ。in this experimental study, the model of bullet wounds on both hind legs of dog complicating shock was used. The characteristics of the transfusion by external jugular vein intubation were observed and compared in three groups of dogs: those came from plateau area (n= 30),those transferred from plain to plateau area (n=30), and those came from plain area (n=30). The result showed that the concentration of heparin which was used to prevent coagulation in the silica gel tube in plateau area should be higher than that in plain area. Other findings were: the inside diameter of the tube which was from 1.5 to 2.0 mm had no relation with the success rate of puncturing and the transfusion rate of the tube with inside diameter of 1. 5 was at 160 drops per minute at most.

关 键 词：高原 火器伤 输液 休克 

分 类 号：R826.5[医药卫生—临床医学]