首页   按字顺浏览 期刊浏览 卷期浏览 Determination of Tissue Viability in Experimental Electrical Injuries
Determination of Tissue Viability in Experimental Electrical Injuries

 

作者: Michael Chilbert,   Dennis Maiman,   James Ackmann,   Charles Brown,   James Henderson,   Thomas Prieto,   Joseph Darin,   Thomas Swiontek,   Joel Myklebust,   Anthony Sances,  

 

期刊: Journal of Burn Care & Rehabilitation  (OVID Available online 1990)
卷期: Volume 11, issue 6  

页码: 516-525

 

ISSN:0273-8481

 

年代: 1990

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Electrical burns or ischemia (induced by vascular ligation) were produced in the legs of 15 anesthetized dogs to study evolution of tissue changes compared with impedance alterations. After the application of 1-ampere currents at 60 Hz, animals were monitored from 1 to 4 days. Muscle impedance was measured with frequency sweeping to determine tissue destruction. Nuclear magnetic resonance spectroscopy (phosphorus 31) was used to assess metabolic activity, and results were compared to impedance measurements. In burned limbs, 70% reduction in muscle impedance was seen, which corresponds to decreased metabolic activity (absent organic phosphates) and suggests necrosis. Visually viable tissue had impedance decreases of 25% and levels of organic phosphates slightly lower than normal. Relaxation frequencies in dogs with severe burns exceeded 80 kHz; in viable tissue, 30 to 40 kHz (normal: 30 kHz). In ischemic muscle, organic phosphates decreased rapidly (1 to 2 hours); impedance changes evolved more slowly (1 day), but they ultimately reached the same degree of severity. Measurement of impedance may be a valuable adjunct in the evaluation of electrical burns, since significant changes strongly suggest nonviability.

 

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