急诊修复非热高压电损伤后局部组织血液流变学的改变  

Blood rheology alternation of local tissue after emergency multiple repairing non-thermic high voltage electrical injury

作　　者：毕波[1] 刘天一[2] 朱志军[2] 朱志祥[3] 许晓光[3] 徐国士[2] 邱明昕[2] 王野[2] 周翔[2] 许庆建[2] 

机构地区：[1]复旦大学附属华山医院检验医学中心,上海200040 [2]青岛医学院附属青岛市立医院烧伤整形科 [3]深圳市第二人民医院烧伤整形科

出　　处：《中国急救医学》2004年第2期103-104,共2页Chinese Journal of Critical Care Medicine

基　　金：青岛市科技发展规划项目 (No .2 0 0 1KZ -3 4)

摘　　要：目的　研究急诊综合修复 (EMR)兔后肢非热高压电损伤后局部组织血液流变学的变化情况 ,为临床治疗提供依据。方法　采用EMR方法处理高压电非热因素造成的兔后肢组织损伤 ,6h后分别取实验组和对照组伤肢股静脉血进行血液流变学参数分析 ,进行比较研究。结果　对照组红细胞变形指数 (MTIE)下降 ,红细胞聚集指数 (MAIE)、红细胞刚性指数(IR)、卡松屈服应力 (τC)均升高 ,实验组MAIE、MTIE及IR均可恢复到正常水平而τC持续升高。结论　EMR可有效改善高压电损伤后局部组织血液流变学高黏状态。Objective To investigate the alteration of blood rheology of non-thermic high voltage electrical wounded tissue after performing emergency multiple repair(EMR).Methods Emergency multiple repair were performed to treat the hind limbs tissue injuries which were caused by non-thermic high voltage electrical factor. The femoral vein blood was phlebotomized after 6 hours. After collecting the parameter, the blood flow parameter was compared. Results MAIE, MTIE, IR and τC changed obviously in two groups, MTIE,MAIE and IR in the control group declined while they all rose to the normal level in experimental group. The changes had statistical difference. Conclusion EMR treatment can improve the high agglutination state of blood flow distinctly.

关 键 词：高压电损伤 修复 血液流变学 

分 类 号：R647[医药卫生—外科学]