Solumsmoen Stian, Kelsen Jesper
Ugeskr Laeger. 2018 Aug 13;180(33).
Penetrating brain injuries due to gunshots are rare in Denmark. This is a case report of the successful treatment of a 31-year-old man who was shot in the right frontal region of the head. The bullet went through his brain without damaging the large intracranial vessels. On admission he had a GCS of 9. Haematoma removal and bifrontal craniectomy was performed to obtain lowering of the intracranial pressure. One year after the incidence the patient was able return to work. This case report illustrates the importance of early prehospital and neurointensive treatment with lowering of the intracranial pressure and highly specialised rehabilitation.
在丹麦，因枪击导致的穿透性脑损伤较为罕见。本文报告了一例成功治疗31岁男性的病例，该男子头部右侧额叶区域遭枪击。子弹穿过其脑部，未损伤颅内大血管。入院时他的格拉斯哥昏迷评分（GCS）为9分。进行了血肿清除术和双额开颅术以降低颅内压。事件发生一年后，患者能够重返工作岗位。本病例报告说明了早期院前和神经重症治疗、降低颅内压以及高度专业化康复的重要性。
