Objective To summarize the treatment results of trauma combined with seawater immersion, and to explore effective treatment methods for this injury. Methods The cases of trauma combined with seawater immersion admitted to our hospital from June 2020 to July 2023 were retrospectively analyzed, and the therapeutic effects were summarized and compared with literature reports. Results All the 5 patients were male. They were aged 26, 23, 24, 25, and 49, respectively. The wounds of all 5 patients healed in the first stage and the prognosis was good. Conclusion Trauma combined with seawater immersion is complicated. However, early rapid withdrawal from seawater, complete debridement, prevention of infection, rewarming, and necessary surgical intervention can significantly improve the prognosis.
CHEN Hongjie
,
WEI Liangfeng
,
ZHANG Hao
,
WANG Shousen
. Treatment of 5 cases of trauma combined with seawater immersion and literature review[J]. Surgical Research and New Technique, 2024
, 13(1)
: 35
-38
.
DOI: 10.3969/j.issn.2095-378X.2024.01.008
[1] Wang LL, Tian YM, Hu S, et al.Study on an animal model of seawater immersion injury following hemorrhagic shock[J]. J Surg Res, 2023, 6(287): 24-32.
[2] 蒋琪霞,王雅婧,刘国帧,等.海水浸泡伤伤口紧急处理策略[J].创伤外科杂志,2022,24(3):143-147.
[3] 林颖,刘良明,屈纪富,等.创伤合并海水浸泡大鼠伤情评估评分方法研究[J].中华创伤杂志,2021,37(2):158-164.
[4] 林颖,刘春光,刘良明,等.现代海战伤合并海水浸泡伤情评估初探[J].中华航海医学与高气压医学杂志,2020,27(6):766-766.
[5] Liu TW, Guo R, Wang X, et al.Antibiotic-loaded chitosan-gelatin scaffolds for infected seawater immersion wound healing[J]. Int J Biol Macromol, 2020, 15(159): 1140-1155.
[6] 王守森,徐永君,张灏.加强海战颅脑损伤合并海水相关性损伤的研究[J/CD].中华神经创伤外科电子杂志,2021,7(5):257-260.
[7] 马建国,张志凌,曾国庆.66例海水浸泡后开放性骨折治疗体会[J].中华航海医学与高气压医学杂志,2006,13(6):377.
[8] 劳泓达,聂小羊,顾佳龙,等.3D打印纳米β-磷酸三钙修复海水浸泡兔胫骨缺损的效果[J].中华创伤杂志,2023,39(6):551-557.
[9] 陈惠东,郑庆聪,王辉,等.四肢开放性白猪海水浸泡伤的致病菌特征研究[J].中华航海医学与高气压医学杂志,2023,30(3):295-300.
[10] Liu YY, Zhu Y, Zhang ZS, et al.N-acetyl-l-cysteine protects organ function after hemorrhagic shock combined with seawater immersion in rats by correcting coagulopathy and acidosis[J].Front Physiol, 2022, 13(3): 1045-1054.
[11] Yi L, Wang J, Zhang JN,et al.Seawater immersion aggravates early mitochondrial dysfunction and increases neuronal apoptosis after traumatic brain injury[J]. Cell Mol Neurobiol, 2020, 40(3): 447-457.
[12] 崔红梅,毕波,迟荣,等.海上作业人员胸部开放伤合并海水浸泡的救护体会[J].中华航海医学与高气压医学杂志,2017,24(4):321-323.