前后位与侧位穿透性颅脑枪伤临床结局的比较
Comparison of clinical outcomes between anteroposterior and lateral penetrating craniocerebral gunshot wounds.
作者信息
Izci Y, Kayali H, Daneyemez M, Koksel T
机构信息
Department of Neurosurgery, Maresal Cakmak Military Hospital, Erzurum, Turkey.
出版信息
Emerg Med J. 2005 Jun;22(6):409-10. doi: 10.1136/emj.2004.014704.
OBJECTIVE
To investigate and compare, using a retrospective clinical study, the clinical outcomes of penetrating craniocerebral gunshot wounds (PCGW) with respect to the trajectory of penetration in the axial plane.
METHODS
In total, 22 patients with PCGW caused by conflict, suicide attempt, or accidental firing were included in this study. They were divided into two groups: anteroposterior and lateral. All patients underwent surgical treatment following emergency intervention.
RESULTS
Of the 22 patients, 16 had anteroposterior and 6 had lateral penetrating injury. Four patients with anteroposterior and five patients with lateral injury died despite surgical treatment. Mortality rate was 25% in the anteroposterior and 83% in the lateral injury group.
CONCLUSION
We found that lateral PCGW is the most devastating type of missile injury to the head.
目的
采用回顾性临床研究，调查并比较穿透性颅脑枪伤（PCGW）在轴向平面上的穿透轨迹的临床结果。
方法
本研究共纳入22例因冲突、自杀未遂或意外枪击导致PCGW的患者。他们被分为两组：前后位组和侧位组。所有患者在紧急干预后均接受了手术治疗。
结果
22例患者中，16例为前后位穿透伤，6例为侧位穿透伤。尽管接受了手术治疗，仍有4例前后位穿透伤患者和5例侧位穿透伤患者死亡。前后位组死亡率为25%，侧位穿透伤组死亡率为83%。
结论
我们发现，侧位PCGW是最具破坏性的头部导弹伤类型。
Zotero 插件