Walsh I R, Eberhart A, Knapp J F, Sharma V
Children's Mercy Hospital, University of Missouri-Kansas City School of Medicine 64108.
Pediatr Emerg Care. 1988 Dec;4(4):279-83. doi: 10.1097/00006565-198812000-00014.
A retrospective chart review of 102 consecutive cases of gunshot wound injuries in children was conducted. Victims were identified by emergency department log review and computer search for inpatient discharge diagnoses. Results are compared with other studies. Nonpowder weapons are found to be involved in a preponderance of cases. In 66% of the cases in which the weapon was known, a nonpowder weapon was used. Length of hospital stay, operations performed, and outcome were compared for the handgun and nonpowder weapon groups. Nonpowder weapons were found to have inflicted major injury in as many patients as did handguns. Methodologic problems of studying gunshot wounds in children are discussed. It is suggested that injury prevention strategies address nonpowder weapons as well as handguns.
对102例连续儿童枪伤病例进行了回顾性病历审查。通过急诊科日志审查和计算机搜索住院患者出院诊断来确定受害者。将结果与其他研究进行比较。发现非火药武器涉及的病例占多数。在已知武器的病例中，66%使用的是非火药武器。比较了手枪组和非火药武器组的住院时间、进行的手术和结果。发现非火药武器造成重伤的患者数量与手枪造成重伤的患者数量相同。讨论了研究儿童枪伤的方法学问题。建议伤害预防策略既要针对手枪，也要针对非火药武器。
