The changes and effect of the lungs and blood gas index after underwater blast injuries / 解放军医学杂志

ABSTRACT

Objective To observe effect of the pulmonary injury and the dynamic changes of the blood gas index on the mortality rate of the dogs suffered from underwater blast injury. Methods 38 adult dogs were brought out underwater blast injury by TNT. The dogs that died on the spot were anatomized immediately, while the survivors were anatomized after 6 hours; the blood samples were taken before the explosions, 30min and 6 hours after them to analyze the blood gas index by i-STAT. Results Most of the lung injuries were pulmonary hemorrhage and edema; the positive impulse of the blast wave and the severity of the lung injury were closely related to the mortality rate; the frequency of the respiratory and the blood oxygen and the carbon dioxide pressure can roughly exhibit how severe the lungs were injured. Conclusions The severe hypoxia induced by lung injury is the main cause of the early death; correlation between the severity of the injury and the positive impulse of blast wave is very obvious.