Keller Jennifer E, Hindman Jason W, Kidd Joseph N, Jackson Richard J, Smith Samuel D, Wagner Charles W
University of Arkansas Medical Sciences, Department of Surgery, Arkansas Chlildren's Hospital, Division of Pediatric Surgery, Little Rock, Arkansas, USA.
Am Surg. 2004 Jun;70(6):484-90.
Severity of injuries from air-powered weapons can be underappreciated. Transformation of these weapons into toys makes them available to children. Our experience reveals the underestimated injury severity and emphasizes need for prompt trauma evaluation. Retrospective chart review of children sustaining air-gun injuries and evaluated at a single, pediatric hospital from 1991 to 2002 was performed. Medical record numbers were retrieved from a trauma data base. Data included age, weapon type, firing distance, injury site, radiographic studies, operative intervention, length of stay, and long-term disability. Ocular injuries were excluded secondary to known severity. All other injuries and treatments are described. Thirty-four children, average age 10 years +/- 3.3 years, sustained 35 injuries from 1991 through 2002. Twenty-one children required admission, 19 children required surgery, and 5 children experienced long-term disability. Average time to definitive care was 3 hours 12 minutes. Sites of injury included head, neck, chest, abdomen, and extremities. Average hospital stay was 4.3 days. In the pediatric population, air-gun injuries can be underestimated. Lack of collateral tissue damage makes wounds appear innocuous to unsuspecting medical personnel resulting in delayed care. During initial evaluation, injuries from air guns deserve the same respect as those caused by conventional firearms.
气动力武器造成的伤害严重程度可能未得到充分重视。这些武器被改造成玩具后，儿童也能接触到。我们的经验揭示了伤害严重程度被低估的情况，并强调了及时进行创伤评估的必要性。我们对1991年至2002年期间在一家儿科医院接受评估的气枪致伤儿童进行了回顾性病历审查。从创伤数据库中检索病历编号。数据包括年龄、武器类型、射击距离、受伤部位、影像学检查、手术干预、住院时间和长期残疾情况。因已知严重程度，眼部损伤被排除在外。描述了所有其他损伤和治疗情况。1991年至2002年期间，34名儿童（平均年龄1十岁±3.3岁）受到35处损伤。21名儿童需要住院，19名儿童需要手术，5名儿童有长期残疾。明确治疗的平均时间为3小时12分钟。受伤部位包括头部、颈部、胸部、腹部和四肢。平均住院时间为4.3天。在儿科人群中，气枪造成的伤害可能被低估。由于缺乏周围组织损伤，伤口对毫无戒心的医务人员来说看似无害，从而导致治疗延误。在初次评估时，气枪造成的伤害应得到与传统枪支造成的伤害同样的重视。
