暴力外科手术。五、头部和脊柱的枪伤
Surgery of violence. V. Missile wounds of the head and spine.
作者信息
Gordon D S
出版信息
Br Med J. 1975 Mar 15;1(5958):614-6. doi: 10.1136/bmj.1.5958.614.
Abstract
The patient with a cerebral gunshot wound has a very unstable condition. In Belfast emphasis has been laid on rapid evacuation and on starting resuscitation within a few minutes of injury. Early and adequate transfusion combats shock; controlled ventilation helps limit the rise in intracranial pressure. Intracranial haematomata should be sought by early operation. Operation seldom improves neurological function in missile wounds of the spine.
摘要
脑部枪伤患者的病情极不稳定。在贝尔法斯特，重点在于迅速转运，并在受伤后几分钟内开始进行复苏。早期足量输血可对抗休克；控制通气有助于限制颅内压升高。应通过早期手术查找颅内血肿。手术很少能改善脊柱枪伤患者的神经功能。
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