Sinclair M C, Moore T C, Asch M J
Am Surg. 1975 Jun;41(6):342-6.
A total of 107 children and adolescents underwent laparotomies for penetrating trauma. There were 64 patients with stab wounds and 43 with gunshot wounds. Only 8 per cent of the patients were under 12 years of age. Three patients died--two from gunshot wounds of major vessels and one from a gunshot wound of the colon. Most of the injuries were related to crimes of violence or were self-inflicted. Multiple organ injuries and postoperative complications were significantly more common among patients with gunshot wounds than in those with stab wounds. Associated extra-abdominal injuries appeared to be more common among patients with gunshot wounds but the difference was not statistically significant. Unnecessary laparotomies were twice as frequent in victims of stab wounds.
共有107名儿童和青少年因穿透性创伤接受了剖腹手术。其中64例为刺伤患者，43例为枪伤患者。只有8%的患者年龄在12岁以下。3例患者死亡——2例死于大血管枪伤，1例死于结肠枪伤。大多数损伤与暴力犯罪有关或为自残所致。枪伤患者中多器官损伤和术后并发症明显比刺伤患者更为常见。腹部外合并伤在枪伤患者中似乎更为常见，但差异无统计学意义。刺伤受害者中不必要的剖腹手术发生率是枪伤受害者的两倍。
