布基纳法索瓦加杜古亚尔加杜大学教学医院头颈部枪伤的治疗经验
Experience with head and neck missile injuries at the yalgado university teaching hospital, ouagadougou, burkina faso.
作者信息
Ouedraogo Rwl, Konsem T, Gyebre Ymc, Ouedraogo Bp, Sereme M, Bambara Cl, Ouattara M, Ouoba K
出版信息
J West Afr Coll Surg. 2012 Oct;2(4):1-9.
BACKGROUND
To report the diagnostic and therapeutic options of missile head and neck injuries.
AIM AND OBJECTIVES
To present our experience in the management of head and neck missile injuries as seen in our centre.
METHODOLOGY
All the patients with head and neck missile injuries who were managed in the ENT and Dental services of Yalgado University Teaching Hospital, in Ouagadougou, the capital of Burkina Faso between January 2003 and December 2012 were reviewed. The data obtained from medical records included demographic data, history, physical findings, and site of injury, diagnosis, type of treatment/surgery, complications and outcome.
RESULTS
Out of a total of 32 patients in this study, there were 26 males and 6 females with a sex ratio of 4.3:1. Their ages ranged from 18 to 63 years with a mean of 32 years ± 5.2. The age range of 20-40 accounted for 68.7% of the patients. The injury was accidental in 37.5%, assault in 56.3 and self inflicted/suicide in 6.3%. Most (59.4%) of the patients had multiple injuries while in 50 % of the cases, the injuries affected the face. Surgical intervention was done in 59.4% of the patients and conservative treatment in 40.6 % of the patients. Complications were noted in 52% of the patients. Seven patients died given a mortality rate of 21.9%.
CONCLUSION
The head and neck missile injuries are not uncommon in our environment with a high mortality and morbidity rates.
背景
报告头部和颈部火器伤的诊断及治疗选择。
目的
介绍我们中心在处理头部和颈部火器伤方面的经验。
方法
回顾了2003年1月至2012年12月期间在布基纳法索首都瓦加杜古的亚尔加杜大学教学医院耳鼻喉科和牙科接受治疗的所有头部和颈部火器伤患者。从病历中获取的数据包括人口统计学数据、病史、体格检查结果、损伤部位、诊断、治疗/手术类型、并发症及结局。
结果
本研究共32例患者，其中男性26例，女性6例，性别比为4.3:1。年龄范围为18至63岁，平均年龄32岁±5.2岁。20至40岁年龄组占患者的68.7%。损伤原因意外占37.5%，袭击占56.3%，自残/自杀占6.3%。大多数患者（59.4%）有多处损伤，50%的病例损伤累及面部。59.4%的患者接受了手术干预，40.6%的患者接受了保守治疗。52%的患者出现并发症。7例患者死亡，死亡率为21.9%。
结论
在我们的环境中，头部和颈部火器伤并不罕见，死亡率和发病率都很高。
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