Chibbaro S, Tacconi L
Department of Neurosurgery, Trieste University Hospital, Trieste, Italy.
Acta Neurochir (Wien). 2006 Sep;148(9):937-41; discussion 941-2. doi: 10.1007/s00701-006-0794-5. Epub 2006 Jun 12.
Penetrating non-missile orbito-cranial injuries are uncommon civilian injuries which have some special features. Only limited case-reports are available in the international literature.
We present a retrospective review of 18 such in presumed trivial orbital injury. Early identification and removal of retained foreign body fragments was achieved within 36 hours.
Patients were operated on and followed up for at least of 3 years. The final clinical outcome was excellent: 16 had a Glasgow Outcome Scale (GOS) of 5 while in the remaining 2 it was 4.
The present report indicates that good results, in managing such injuries, can be achieved by a high index of suspicion and early diagnosis of intracranial injury in presumed trivial wounds and by the removal of every possible retained foreign body.
穿透性非导弹性眶颅损伤是一种罕见的平民损伤，具有一些特殊特征。国际文献中仅有有限的病例报告。
我们对18例此类被认为是轻微眼眶损伤的病例进行了回顾性研究。在36小时内实现了对残留异物碎片的早期识别和清除。
患者接受了手术并至少随访3年。最终临床结果良好：16例格拉斯哥预后量表（GOS）评分为5，其余2例为4。
本报告表明，对于此类损伤的处理，通过高度怀疑并早期诊断疑似轻微伤口中的颅内损伤，以及清除每一个可能残留的异物，可取得良好效果。
