模拟不同海况舰船环境下行去骨瓣减压术的可行性研究  

Feasibility study of simulated decompression craniectomy aboard ship under different sea status

作　　者：赵虎林[1] 钱阳明[1] 李海峰[1] 姜福延[1] 李军[1] 陈永鹏[1] 林勇生[1] 卢英子[1] 王大鹏[1] 

机构地区：[1]海军总医院,北京100048

出　　处：《中华航海医学与高气压医学杂志》2010年第3期168-170,共3页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

摘　　要：目的 探讨不同海况舰船环境下实验犬去骨瓣减压术的操作时间及可行性.方法 采用摇摆舱液压模拟器,分别模拟舰船航行时4种（A、B、C、D）不同船体摇摆度条件,行专家咨询论证的海战时常用的去骨瓣减压术,选取20条杂种犬随机分组并分别进行操作时间测定与可行性研究.结果 去骨瓣减压术在不同海况下船上操作均顺利完成,实验犬术后观察48 h无死亡发生,操作时间差异无统计学意义（P〉0.05）.结论 虽然舰船上操作的精准程度受一定影响,但去骨瓣减压术在上述4种海况中实施是安全可行的.Objective To study manipulating time and feasibility of simulated decompression craniectomy aboard ship under different sea status.Methods A hydraulic simulator was used to simulate the 4 different rolling and pitching states of the ship （i.e.A、B、C and D）.Twenty hybrid dogs were randomly divided into groups for our present study.Simulated decompression craniectomy was performed to measure manipulating time and carry out feasibility study.Results Decompression craniectomy was completed successfully on experimental dogs without any death occurred following an observation of at least 48 hours.No differences in manipulating time could be noted（P〉0.05）.Conclusions Though manipulating accuracy aboard ship was affected to a certain degree,decompression craniectomy could be performed aboard ship under the four sea states.

关 键 词：去骨瓣减压术 船体摇摆度 模拟舰船环境 操作时间 

分 类 号：R686[医药卫生—骨科学]