Subbotina M V, Belykh O N, Buksha I A, Kunitsina M N, Platonenko O I
Department of Otorginolaryngology, Irkutsk State Medical University, Irkutsk, Russia, 664025.
Ivano-Matreninskaya City Children's Clinical Hospital, Irkutsk, Irkutsk, Russia, 664025.
Vestn Otorinolaringol. 2018;83(3):71-74. doi: 10.17116/otorino201883371.
This article reports two clinical cases of the successful treatment of the gunshot wounds in the nasal cavity and paranasal sinuses of the children resulting from the careless use of the pneumatic weapons. Despite the fact that the shots were fired from a close distance, the intracranial structures and the eyeballs remained unaffected. The bullets were localized in the nasal septum of one child and in the frontal recess of the other as is typical of the injuries inflicted to the nose and paranasal sinuses by the shots from the air rifles. Multi-slice spiral computed tomography (MSCT) is known to have a number of important advantages over the roentgenological examination for determining the location of the bullets. Bullets for pneumatic rifles are manufactured in the form of the balls either from lead or copper-coated steel; therefore, they are a priory can not be removed with the use of a magnet.
本文报道了两例成功治疗儿童因误用气枪导致鼻腔及鼻窦枪伤的临床病例。尽管枪击是在近距离发生的，但颅内结构和眼球未受影响。一颗子弹位于一名儿童的鼻中隔，另一颗位于另一名儿童的额隐窝，这是气枪射击造成鼻及鼻窦损伤的典型情况。众所周知，多层螺旋计算机断层扫描（MSCT）在确定子弹位置方面比X线检查有许多重要优势。气枪子弹由铅或镀铜钢制成球状，因此，它们根本无法用磁铁取出。
