Gorgulu Semih, Gencosmanoglu Rasim, Akaoglu Cuneyt
Department of General Surgery, Gulhane Military Medical Academy, Etlik, Ankara, Turkey.
Int Surg. 2008 Nov-Dec;93(6):331-8.
The aim of this study was to present the outcomes of military penetrating abdominal gunshot injuries, to identify factors that predict morbidity, and to compare the present results with those from two civilian trauma centers. Fifty-one consecutive patients who had suffered high-velocity gunshot wounds to the abdomen were assessed retrospectively. Penetrating abdominal trauma index, the number of injured organs, and the presence of colonic injury were significantly associated with high morbidity by univariate analysis. Multivariate analysis showed that only the number of organs injured and presence of colonic injury were independent predictors of morbidity. Our results showed that military rifle bullets do not cause greater tissue disruption than that found in wounds created by lower-velocity projectiles. The presence of colonic injury and the number of organs injured (more than three) seem to be important predictors of morbidity in penetrating abdominal gunshot wounds caused by high-velocity missiles.
本研究的目的是呈现军事穿透性腹部枪伤的结果，确定预测发病率的因素，并将目前的结果与两个 civilian 创伤中心的结果进行比较。对 51 例连续遭受腹部高速枪伤的患者进行了回顾性评估。单因素分析显示，穿透性腹部创伤指数、受伤器官数量和结肠损伤的存在与高发病率显著相关。多因素分析表明，只有受伤器官数量和结肠损伤的存在是发病率的独立预测因素。我们的结果表明，军用步枪子弹造成的组织破坏并不比低速射弹造成的伤口更大。结肠损伤的存在和受伤器官数量（超过三个）似乎是高速导弹所致穿透性腹部枪伤发病率的重要预测因素。
