Crandon I W, Bruce C A R, Harding H E
Department of Surgery, Radiology, Anaesthesia and Intensive Care, The University of the West Indies, Kingston 7, Jamaica, West Indies.
West Indian Med J. 2004 Sep;53(4):248-51.
Gunshot injuries are an escalating social and medical dilemma in many Western and some developing countries. Of 40 patients arriving at the University Hospital of the West Indies (UHWI), Jamaica, from 1993 to 1998, with gunshot wounds of the head, 30 were admitted. Six of those admitted died within 24 hours, five with poor Glasgow Coma scores. Ten patients had surgery, two of whom died. Six complications occurred: two patients each developed an infection, cerebrospinal fluid fistula or seizures. All patients were victims of an assault and all had intracranial penetration, the most common sites of which were facial and frontal. Median hospital stay was eleven days. The Glasgow Coma Score on admission was a good prognostic indicator. Fourteen patients had associated injuries, four of which were in the neck. Surgery was considered inappropriate for moribund patients and those with inaccessible bone and bullet fragments. Young males were the most common victims of this devastating form of assault.
在许多西方国家和一些发展中国家，枪伤正成为一个日益严重的社会和医学难题。1993年至1998年期间，抵达牙买加西印度群岛大学医院（UHWI）的40例头部枪伤患者中，30例入院治疗。其中6例在24小时内死亡，5例格拉斯哥昏迷评分较低。10例患者接受了手术，其中2例死亡。发生了6例并发症：2例患者分别出现感染、脑脊液瘘或癫痫发作。所有患者均为袭击受害者，均有颅内穿透伤，最常见的部位是面部和前额。中位住院时间为11天。入院时的格拉斯哥昏迷评分是一个良好的预后指标。14例患者有合并伤，其中4例在颈部。对于濒死患者以及骨骼和子弹碎片难以触及的患者，手术被认为不合适。年轻男性是这种毁灭性袭击形式最常见的受害者。
