Kong Victor, Weale Ross, Blodgett Joanna, Bruce John, Laing Grant, Clarke Damian
Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa.
Department of Surgery, University of KwaZulu Natal, Durban, South Africa.
Trauma Surg Acute Care Open. 2018 Dec 30;3(1):e000260. doi: 10.1136/tsaco-2018-000260. eCollection 2018.
Car hijacking, known as "carjacking", is a form of aggravated robbery of a vehicle from the driver frequently involving firearm and is common in South Africa. There is, however, little literature on the spectrum of injuries sustained by victims of car hijacking. The study aimed to describe the spectrum of gunshot wound-related (GSW) injuries and review our experience of management of victims of car hijacking in our trauma center based in South Africa.
A retrospective review was conducted during an 8-year period from January 2010 to January 2018 on all patients who presented with any form of GSW after a car hijacking incident.
During the 8-year study period, a total of 101 patients were identified. Seventy-four percent were male (75 of 101) and the mean age was 34 years. The mean time from injury to arrival at our trauma center was 7 hours (rural district: 10 hours, urban district: 4 hours; p<0.001). Seventy-five percent (76 of 101) of all patients sustained GSWs to multiple body regions, whereas the remaining 25% (25 of 101) were confined to a single body region. The most common region involved was the chest (48 cases), followed by the abdomen (46 cases) and neck (34 cases). Sixty-three of the 101 (62%) patients required one or more operative interventions. The most common procedure was laparotomy (28 cases), followed by vascular (20 cases) and neck (14) exploration. Eighteen percent (18 of 101) of all patients required intensive care unit admission. The mean length of hospital stay was 7 days. The overall morbidity was 13% (16 of 101) and the overall mortality was 18% (18 of 101).
The spectrum of injuries from GSW related to car hijacking commonly involves close range GSWs to multiple body regions. Torso trauma is common and a substantial proportion of victims require major operative interventions. The mortality from these injuries is significant.
Level III.
汽车劫持，即“劫车”，是一种针对司机的严重车辆抢劫形式，常涉及枪支，在南非很常见。然而，关于汽车劫持受害者所受伤害范围的文献很少。本研究旨在描述枪伤相关（GSW）损伤的范围，并回顾我们在南非创伤中心对汽车劫持受害者的治疗经验。
对2010年1月至2018年1月这8年间因汽车劫持事件后出现任何形式枪伤的所有患者进行回顾性研究。
在8年的研究期间，共确定了101例患者。74%为男性（101例中的75例），平均年龄为34岁。从受伤到抵达我们创伤中心的平均时间为7小时（农村地区：10小时，城市地区：4小时；p<0.001）。所有患者中有75%（101例中的76例）身体多个部位遭受枪伤，其余25%（101例中的25例）局限于单个身体部位。最常受累的部位是胸部（48例），其次是腹部（46例）和颈部（34例）。101例患者中有63例（62%）需要进行一次或多次手术干预。最常见的手术是剖腹术（28例），其次是血管探查（20例）和颈部探查（14例）。所有患者中有18%（101例中的18例）需要入住重症监护病房。平均住院时间为7天。总体发病率为13%（101例中的16例），总体死亡率为18%（101例中的18例）。
与汽车劫持相关的枪伤损伤范围通常涉及身体多个部位的近距离枪伤。躯干创伤很常见，相当一部分受害者需要进行重大手术干预。这些损伤导致的死亡率很高。
三级。
