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一例罕见的火器伤病例:子弹嵌顿于舌部。

An unusual case of firearm injury: bullet lodged in the tongue.

作者信息

Cetin Selçuk, Eren Bülent, Akan Okan, Türkmen Nursel, Gürses Murat Serdar, Gündoğmuş Umit Naci

机构信息

Bursa Morgue Department, Council of Forensic Medicine of Turkey, Bursa, Turkey.

出版信息

Soud Lek. 2013 Apr;58(2):31-2.

Abstract

Firearm-related injuries are a major problem worldwide, in forensic medicine practice. and unusual presentation of bullet trajectory can create surgical or medico-legal diagnostic problems. A 23-year-old man suffered two gunshot wounds, was taken to emergency department immediately after the incident. Physical examination revealed two entrance gunshot wounds on the left lumbar region under the lower margin of left scapulae and right gluteal region. An exit wound was defined on the lateral side of the right gluteal region which was located 5 cm distance of entrance wound. Radiological investigation showed a bullet in the tongue without any life threatening impairment. A thoracic CT scan and abdominal USG were normal. Following the initial examinations he was hospitalized and the bullet removed from the tongue by a simple surgical operation. An interesting case of gunshot injury where the passage route of bullet extending along from upper posterior part of the left lumbar region to the tongue without vital organ injury or serious disability has been reported.

摘要

在法医学实践中,与枪支相关的损伤是一个全球性的主要问题。子弹轨迹的异常表现可能会引发外科手术或法医学诊断问题。一名23岁男性遭受两处枪伤,事件发生后立即被送往急诊科。体格检查发现左侧肩胛骨下缘下方的左腰区和右臀区有两处入口枪伤。在右臀区外侧确定有一处出口伤,该出口伤距离入口伤5厘米。放射学检查显示一枚子弹位于舌部,无任何危及生命的损伤。胸部CT扫描和腹部超声检查均正常。经过初步检查后,他被收治入院,并通过简单的外科手术从舌部取出子弹。本文报道了一例有趣的枪伤病例,子弹的行进路线从左腰区上后部延伸至舌部,未造成重要器官损伤或严重残疾。

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