不同伤体温度下家兔软组织模拟枪伤的形态学特征

R. Mikhaylusov, V. Negoduyko, G. Gubina-Vakulik, S. Pavlov, G. B. Pavlovа, A. M. Veligotsky, O. M. Khvysiuk
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摘要

本文介绍了低能弹射伤中软组织表面破片弹射伤的实验建模结果。对枪伤的病理形态学进行了研究,比较了损伤碎片温度对枪伤愈合特征和时间的影响。本研究旨在研究弹片温度对浅表低能破片枪伤实验动物软组织愈合过程的影响。采用随机数法将实验动物(家兔)分为3个实验组,每组15只。各组均采用温度分别为- 18°С、50°С和100°С的破片伤人。对照组为10只完整动物。第14、30、60天,每组退试5只。软组织显微镜检查使用PRIMO STAR光学显微镜(卡尔蔡司,德国),放大56倍和400倍。在评估创面损伤区域的组织状态时,发现随着损伤碎片温度的升高,坏死碎屑在利用过程中形成的缺损的填充速度较慢。损伤碎片的高温和组织的机械断裂引起热凝坏死。致密的凝固性坏死包块从内部覆盖创面,不仅增加了坏死包块的体积,而且使创面愈合过程复杂化。伤口碎片温度为100°C时,伤口表面坏死痂的形成时间比温度为18°C和50°C时平均晚3±1.2天,伤口底部和肌肉组织愈合最不明显。显微镜下观察到肌细胞坏死,未见营养不良改变。因此,通过对MP-532气枪弹片在不同温度下伤后伤口软组织病理形态的对比分析,可以看出组织的改变和再生潜能的差异。
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Morphological features of the simulated gunshot wounds of rabbits’ soft tissues at different temperatures of injuring object
The article presents the results of experimental modeling of super­ficial fragment gunshot wounds of soft tissues, obtained in low-energy gunshot wounds. The pathomorphosis of gunshot wounds was studied, and the features and timing of their healing were compared depending on the temperature of the damaging fragments. The aim of the work was to study the effect of the temperature of the injuring shrapnel on the healing processes of the soft tissues of experimental animals with superficial low-energy fragment gunshot wounds. Using the random number method, laboratory animals (rabbits) were divided into 3 experimental groups (15 animals each). In each group, wounding was with fragments with different temperatures − 18°С, 50°С and 100°С. The control group consisted of 10 intact animals. On day 14th, 30th and 60th, 5 animals from each group were withdrawn from the experiment. Microscopic examination of soft tissues was performed using a PRIMO STAR light microscope (Carl Zeiss, Germany) at magnification by 56 and 400 times. When assessing the state of tissues in the area of wound damage, it was established that as the temperature of the injuring fragment increases, a slower filling of the defect formed by the necrotic detritus in the process of utilization of necrotic detritus is observed. The high temperature of the injuring fragment along with the mechanical rupture of tissues causes thermal coagulation necrosis. Dense coagulated necrotic masses covering the wound canal from the inside, not only increase the volume of necrotic masses, but also complicate the process of wound healing. At a temperature of wounding fragments 100°C, the formation of a necrotic crust on the surface of the wound occurred on average 3±1.2 days later than at temperatures of 18°C and 50°C, the least pronounced healing took place at the bottom of the wound and in the muscle tissue. Microscopically necrotic, not dystrophic changes were observed in myocytes. Thus, a comparative analysis of the pathomorphosis of soft tissues in a wound when injured from an air rifle MP-532 with different temperature of the fragments showed differences from both the alteration of the tissues and the regenerative potential.
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