• 1. Department of Thoracic Surgery , Cinqiao Hospital , the Third Military Medical University , Chongqing 400037,P.R.China;;
  • 2. Chest Surgery Center of PLA,Daing Hospital , the Third MIlitary Medical University , chongqing 400042, P. R. china.;
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Objective To study the characteristics of pulmonary impact injury under closure and open states of glottis. Methods One hundred and eight rabbits were randomly divided into two groups (54 each group). Open state of glottis group(open group): impact injuries with opened glottis; closure state of glottis group (closed group): impact injuries with closed glottis. Parameters were set up with various combinations of driven pressures and compress percentage and the model of rabbit blunt chest trauma were established. Pathological changes were examined and abbreviated injury scale (AIS), water containing and mortality were recorded. Results Two and four rabbits died in open group and closed group respectively under the condition of 30% for compress percentage and 8 250 mmHg for driven pressures. In most cases, AIS values of closed group were significantly higher than that of open group (P lt;0.05). AIS values were positively related to driven pressures and compress percentage (r=0.9313, 0.7847; P lt;0.01, 0.01). Quantities of contained water in lung of closed group were significantly higher than that of open group(t=2.28,P lt;0.01). Conclusion The severity of injury, the increased mortality and earlier occurrence of traumatic acute lung injury were the characteristics of pulmonary impact injury under the closure states of glottis.

Citation: WU Qiuping ,JIANG Yaoguang,MIN Jiaxin.. An Experimental Study on the Characteristics of Pulmonary Impact Injury Under Closure and Open States of Glottis. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2005, 12(3): 189-193. doi: Copy