火器-冻 冻-火器复合伤后早期动脉血气变化研究

doi:10.3969/j.issn.1002-1949.2016.05.0017

Chinese Journal of Critical Care Medicine

2016, Vol. 36

Issue (5): 455-458 DOI: 10.3969/j.issn.1002-1949.2016.05.0017

Studying on the early change characteristics of arterial blood gas index monitoring in firearms－ frozen/frozen-firearms compound injury

XIAO Xi, MENG Hui, ZHANG Dong-run, ZHANG Yu, YANG Chen-li, LI Qing-xin, GAO Wei, ZHANG Hong-wei, CHAO Dong, LI Nai-bin

Department of Thoracic Surgery, General Hospital of Lanzhou Army, Lanzhou 730050, China

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Abstract Objective To investigate the early changes of arterial blood gas index and to provide the treatment method during the early stages of firearms-frozen and frozen-firearms compound injury. Methods Thirty Japanese white rabbits were randomly divided into five groups: A firearms- frozen group, B freeze-firearms group, C firearms group, D frostbite group, E control group. The potential of hydrogen (pH), partial pressure of oxygen (PaO2), partial pressure of carbon dioxide (PaCO2), actual bicarbonate (AB), standard bicarbonate (SB), oxyhemoglobin saturation (SaO2), base excess (BE) and oxygenation index (PaO2/FiO2) of rabbits were measured after building the model (75±5) min. Results There was a significant difference in A, B, C group when compared with E group in the arterial blood gas index (P＜0.05), and no significant difference in D group compared with E group (P＞0.05), and no significant difference among A, B, C, D group (P＞0.05). A significant difference was shown in the acid-base balance disorders in A group when compared with B, D group (P＜0.05). Moreover, the A group is mainly performance for metabolic acidosis with respiratory alkalosis. Compared with D group, the acid-base balance disorders in B, C group had no significant difference (P＞0.05). Conclusion The firearms- frozen/frozen-firearms compound injury’s arterial blood gas index has more serious disorder. Furthermore, the main performance of the acid-base balance disorder type is metabolic acidosis merger respiratory alkalosis. Early treatment strategy according to the characteristic of arterial blood gas index changes will help to improve the successful rate of clinical treatment.

Received: 14 December 2015

Corresponding Authors: MENG Hui, E-mail: mhgl2008@163.com

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	XIAO Xi
	MENG Hui
	ZHANG Dong-run
	ZHANG Yu
	YANG Chen-li
	LI Qing-xin
	GAO Wei
	ZHANG Hong-wei
	CHAO Dong
	LI Nai-bin

Cite this article:

XIAO Xi,MENG Hui,ZHANG Dong-run, et al. Studying on the early change characteristics of arterial blood gas index monitoring in firearms－ frozen/frozen-firearms compound injury [J]. Chinese Journal of Critical Care Medicine, 2016, 36(5): 455-458.

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http://www.cnemergency.org.cn/EN/10.3969/j.issn.1002-1949.2016.05.0017 OR http://www.cnemergency.org.cn/EN/Y2016/V36/I5/455

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