胸部火器伤即刻致死者主要脏器的微创病理改变  

Pathological changes of major organs in patients died instantly due to thoracic fire-arm injury

作　　者：田志强[1] 赵东海[1] 李全岳[2] 余桂湘[1] 万友华[2] 曲海燕[1] 陈伯成[1] 张春宝[1] 

机构地区：[1]解放军第303医院急诊科,广西南宁530021 [2]解放军第303医院病理科,广西南宁530021

出　　处：《局解手术学杂志》2011年第4期361-363,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的观察胸部火器伤即刻致死者各主要脏器的早期微创病理改变,为胸部火器伤早期救治提供理论参考。方法对14例胸部火器伤即刻致死者进行尸体病理剖解,在远离伤道区取各器官组织,显微镜下观察脑、脊髓、心脏、肺脏、肝脏、肾脏、脾脏、食管等主要脏器的早期微创病理改变。结果胸部火器伤即刻致死者远离伤道区各主要器官肉眼观察未见明显改变;镜下观察可见各脏器组织早期的微创伤主要变化为组织间隙扩张、管道上皮细胞脱落、小出血、淤血及肌肉收缩等。结论胸部火器伤后远离伤道区各主要脏器组织即刻就可出现微创病理改变,救治胸部火器伤时应重视器官微创伤的危害,及早采取积极有效措施保护重要脏器的功能。Objective To observe the pathological changes of the major organs at earlier stage in patients died instantly due to fire-arm injury and to provide references to its early treatment.Methods Totally 14 cases of fire-arm injury were analyzed respectively through autopsy.Microscope was applied to observe the earlier pathological changes of the major organs away from the wound district such as brain,spinal cord,heart,lung,liver,kidney,spleen,esophagus,etc.Results No obvious change was observed in the organs away from the wound district by naked eyes,however,earlier pathological changes such as broadened tissue space,defluxion of endothelial cell,tiny hemorrhage,blood extravasation,muscle contraction,etc were observed by microscope.Conclusion Pathological changes of the major organs at earlier stage can be observed in patients died instantly due to fire-arm injury.Positive measures should be taken to preserve the functions of the important organs when treating the fire-arm injury.

关 键 词：胸部损伤 火器伤 即刻 病理改变 

分 类 号：R826.5[医药卫生—临床医学]