Atabey Cem, Ersoy Turgay
Department of Neurosurgery, Diyarbakir Military Hospital, Diyarbakir, Turkey.
Ulus Travma Acil Cerrahi Derg. 2012 Mar;18(2):181-4. doi: 10.5505/tjtes.2012.76753.
Penetrating landmine injuries are the unavoidable consequences of military conflicts. They are potentially life-threatening. The mortality rates in the literature range from 23% to 92% and are considerably higher in patients admitted with poor neurologic state. Penetrating craniocerebral injuries require early surgical management designated to prevent infection and remove foreign objects, necrotic tissue and complicating blood clots, as well as to minimalize post-traumatic sequelae. We report herein an interesting case of penetrating intracerebral injury with giant shrapnel due to landmine in a 20-year-old young man.
穿透性地雷伤是军事冲突不可避免的后果。它们具有潜在的生命威胁。文献中的死亡率在23%至92%之间,在神经状态不佳的入院患者中死亡率更高。穿透性颅脑损伤需要早期手术治疗,目的是预防感染、清除异物、坏死组织和并发的血凝块,并尽量减少创伤后后遗症。我们在此报告一例20岁青年因地雷导致的巨大弹片穿透性脑损伤的有趣病例。