Hammon W M
Neurosurgery Service, Walter Reed General Hospital, Washington, DC 20012, USA.
J Neurosurg. 1971 Feb;34(2 Pt 1):142-4. doi: 10.3171/jns.1971.34.2part1.0142.
Forty-two patients with retained intracranial bone fragments from Vietnam war wounds were evaluated and treated at the Walter Reed General Hospital. Forty required further debridement, 16 had positive wound cultures while they were on antibiotic therapy, 23 had gross evidence of infection, and the remainder also had debris and necrosis at the retained bone fragment sites. There were eight in-hospital deaths. All surviving patients available to follow-up have been free of infection. Retained intracranial fragments of bone should be removed as early as is possible.
在沃尔特·里德综合医院对42名因越战伤口而颅内残留骨碎片的患者进行了评估和治疗。40名患者需要进一步清创，16名患者在接受抗生素治疗时伤口培养呈阳性，23名患者有明显的感染迹象，其余患者在残留骨碎片部位也有碎片和坏死。有8例住院死亡。所有可供随访的存活患者均未感染。颅内残留的骨碎片应尽早取出。
