Fedorov B N, Mironova V I, Bykov V P, Tsirkunov M A, Shapovalov K A
Khirurgiia (Mosk). 1989 Aug(8):65-8.
From analysis of the results of surgical treatment of gunshot injuries of the abdomen in 55 patients the authors conclude that insufficient experience of surgeons in the treatment of such injuries is the main cause of pyogenic complications (51%). They failed, as a rule, to take into account the extent of the affection and the spread of the devitalized tissues, as a consequence of which unjustified economical and non-radical debridement was performed. Eleven patients (20%) died, seven of them, from peritonitis.
通过对55例腹部枪伤手术治疗结果的分析,作者得出结论:外科医生治疗此类损伤经验不足是化脓性并发症的主要原因(51%)。通常,他们没有考虑到损伤的程度和失活组织的扩散情况,结果进行了不合理的保守和非根治性清创。11名患者(20%)死亡,其中7人死于腹膜炎。