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Evaluation of maxillofacial weapon injuries: 15-year experience in Belgrade.
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Gunshot wounds to the spine.脊柱枪伤。
Spine J. 2004 Mar-Apr;4(2):230-40. doi: 10.1016/S1529-9430(03)00178-5.
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Spinal cord injuries from gunshot wounds to the spine.脊柱枪伤导致的脊髓损伤。
Clin Orthop Relat Res. 2003 Mar(408):120-5. doi: 10.1097/00003086-200303000-00014.
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Current treatment of gunshot wounds to the spine.当前脊柱枪伤的治疗方法。
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J Oral Maxillofac Surg. 2001 Mar;59(3):277-82. doi: 10.1053/joms.2001.20989.
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Transoral missile removal from the anterior C1 region following transpharyngeal missile wound.
Arch Orthop Trauma Surg. 1999;119(5-6):340-3. doi: 10.1007/s004020050423.
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Initial evaluation and management of gunshot wounds to the face.面部枪伤的初始评估与处理
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9
[Gunshot injuries in the head-neck area--basic principles, diagnosis and management].[头颈部枪伤——基本原则、诊断与处理]
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枪伤所致面部损伤合并下颈椎损伤：一例报告

Gunshot-caused Facial Injury Combined with Lower Cervical Spine Injury: A Case Report.

作者信息

Wang J, Ye C Y, Zhu M Y, Yuan J D, Ten H L

机构信息

Department of Orthopaedic Surgery, First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, PR China.

Department of Orthopaedic Surgery, First Affiliated Hospital of Wenzhou Medical College, No 2 Fuxue Road Lucheng Dist 325000, Wenzhou Zhajiang Province, PR China.

出版信息

West Indian Med J. 2014 Aug;63(4):378-81. doi: 10.7727/wimj.2013.260. Epub 2014 Jun 25.

DOI:10.7727/wimj.2013.260
PMID:25429487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4663917/
Abstract

A 32-year old male patient was wounded by a pistol. As shown in computed tomography (CT) scanning images, there was comminuted fracture of the left mandible and the bullet was found in the left side behind the sixth cervical vertebra. After the patient was hospitalized, the debridement was done in the emergency room and the operation of open reduction and internal fixation for comminuted fracture of left mandible was performed successfully. Eighteen days later, the patient was taken to surgery for anterior cervical decompression and fusion with autogenous iliac bone grafting for the sixth cervical vertebra. Postoperative follow-up of the patient over two years indicated that the left biceps muscle strength was recovered to level 4. Gunshot wound to the face associated with injury of the low cervical spine has the possibility of survival. It is safe to treat facial wounds early in the patient's treatment course, even if the bullet remains in the cervical vertebral body and there is neurological function damage.

摘要

一名32岁男性患者被手枪击伤。计算机断层扫描（CT）图像显示，左下颌骨粉碎性骨折，子弹位于第六颈椎左侧后方。患者入院后，在急诊室进行了清创，并成功实施了左下颌骨粉碎性骨折切开复位内固定手术。18天后，患者接受手术，进行第六颈椎前路减压及自体髂骨移植融合术。对该患者进行了两年多的术后随访，结果显示左肱二头肌肌力恢复至4级。面部枪伤合并下颈椎损伤有存活的可能。即使子弹仍留在椎体且存在神经功能损伤，在患者治疗过程中早期处理面部伤口也是安全的。