民用枪击致四肢骨折合并神经损伤。
Civilian gunshot extremity fractures with neurologic injury.
机构信息
School of Medicine Department of Orthopaedic Surgery, Temple University, Philadelphia, Pennsylvania 19140, USA.
出版信息
Orthop Surg. 2011 May;3(2):102-5. doi: 10.1111/j.1757-7861.2011.00125.x.
OBJECTIVE
To verify the hypothesis that neurologic injuries are less prevalent in civilian gunshot injuries than that reported in the military literature, and are more likely to occur with concomitant fracture.
METHODS
In order to investigate the incidence and patient variables of gunshot injury with neurologic injury, a retrospective chart review was performed at a single urban trauma center over a five-year period.
RESULTS
One thousand eight hundred and fifty-one patients with gunshot injuries were treated at our center over the five year study period. Of these, 895 patients (48%) had involvement of at least one extremity and 382 (21%) had concomitant fractures. Seventy-four had concomitant neurologic injury. There was a statistically significant difference of 14% (53/382) and 4% (21/513) (P < 0.0001) between the group with fracture (53 patients) and the group without fracture (21 patients), respectively, in the occurrence of neurologic insult.
CONCLUSION
This incidence of neurologic injuries in civilian gunshot injuries is lower than that previously reported in the military population and the presence of a fracture is clearly an additional risk factor for neurologic injury.
目的
验证以下假设，即民用枪伤中神经损伤的发生率低于军事文献中的报告，且更可能与伴随性骨折同时发生。
方法
为了调查伴有神经损伤的枪伤发生率和患者变量，在单家城市创伤中心进行了一项为期五年的回顾性图表审查。
结果
在五年的研究期间，我们中心共收治了 1851 名枪伤患者。其中，895 名患者（48%）至少有一个肢体受累，382 名（21%）有伴随性骨折。74 名患者伴有神经损伤。有统计学意义的差异为 14%（53/382）和 4%（21/513）（P<0.0001），分别在骨折组（53 名患者）和无骨折组（21 名患者）中发生神经损伤的情况。
结论
民用枪伤中神经损伤的发生率低于先前在军事人群中的报告，且骨折的存在显然是神经损伤的另一个附加风险因素。
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