Hughes Betsy D, Vender John R
Department of Neurosurgery, Medical College of Georgia, Augusta, Georgia, USA.
J Neurosurg. 2006 Sep;105(3 Suppl):233-4. doi: 10.3171/ped.2006.105.3.233.
Bullet fragment emboli are uncommon, and there have been only a few reports of intracranial-to-extracranial migration of these fragments. The authors present the case of an 11-year-old girl who was struck in the suboccipital region with a "soft nose" bullet fired at close range. Several months later, the patient was found to have asymptomatic pulmonary emboli. Similar cases are reviewed, and a management strategy is recommended.
子弹碎片栓子并不常见，关于这些碎片从颅内迁移至颅外的报道仅有少数几例。作者报告了一名11岁女孩的病例，她在枕下区域被近距离发射的“软头”子弹击中。几个月后，该患者被发现有无症状肺栓塞。本文对类似病例进行了回顾，并推荐了一种管理策略。
