Klein Jillian A, Nowak Jeffrey E, Sutherell Jamie S, Wheeler Derek S
Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Pediatr Emerg Care. 2010 Jan;26(1):36-8. doi: 10.1097/PEC.0b013e3181c39a39.
Modern air-powered pellet guns are capable of propelling their projectiles at velocities of 250 to 930 ft/s depending on their propulsion system-rivaling traditional small caliber firearms in the potential for serious soft tissue injuries. Management decisions regarding thoracic/cardiac pellet gun injuries must be based on the presentation and stability of the patient and the location of the retained pellet. We present a report of the nonsurgical management of an 8-year-old girl with a retained pericardial pellet and small stable effusion.
现代气动力弹丸枪能够根据其推进系统，以250至930英尺/秒的速度发射弹丸，其造成严重软组织损伤的可能性可与传统小口径火器相媲美。关于胸部/心脏弹丸枪损伤的治疗决策必须基于患者的临床表现和稳定性以及留存弹丸的位置。我们报告一例8岁女孩心包内存留弹丸且伴有少量稳定积液的非手术治疗病例。
