Miller B R, Schiller W R
Mil Med. 1989 Feb;154(2):64-6.
Recently, pyogenic vertebral osteomyelitis has been documented following transcolonic passage of bullets lodging in or near the vertebral column. It is becoming more recognized that foreign body missiles are not as sterile as was once thought--especially after passage through the gastrointestinal tract--and that this condition contributes to the incidence of infection in such bone injuries. In this article the problem of deciding on and implementing proper initial treatment and management of vertebral injuries caused by foreign body missiles is illustrated and discussed.
最近，有文献记载，子弹经结肠进入并停留在脊柱内或脊柱附近后会引发化脓性脊椎骨髓炎。人们越来越认识到，异物导弹并不像曾经认为的那样无菌——尤其是在穿过胃肠道之后——而且这种情况导致了此类骨损伤感染的发生率上升。本文阐述并讨论了针对异物导弹所致脊椎损伤确定并实施恰当初始治疗和管理的问题。
