Ritchie A J, Harvey C F
Department of Surgery, Mater Infirmorum Hospital, Belfast, UK.
J R Coll Surg Edinb. 1990 Oct;35(5):302-4.
Sixty-eight patients with gunshot and blast injuries who had sustained 200 wounds were treated in a single surgical unit over an 18-month period. Many of these were low velocity injuries to the soft tissues of the lower limbs. A change of policy was adopted for this selected group which involved minimum wound debridement under local anaesthesia in association with antibiotics. This policy enables early discharge from hospital and has resulted in a low infection rate with no significant morbidity.
在18个月的时间里，一个外科单元对68名遭受枪伤和爆炸伤、共有200处伤口的患者进行了治疗。其中许多是下肢软组织的低速伤。针对这一特定群体采用了一项政策改变，即在局部麻醉下联合使用抗生素进行最小限度的伤口清创。这项政策使得患者能够早期出院，并且感染率较低，没有明显的发病率。
