Sirko Andrii, Kyrpa Igor, Yovenko Ihor, Miziakina Kateryna, Romanukha Dmytro
Neurosurgery Department, Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, Ukraine.
Anesthesiology and Intensive Therapy Department, Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, Ukraine.
Mil Med. 2019 Oct 1;184(9-10):e575-e580. doi: 10.1093/milmed/usz041.
Many researchers classify perforating diametric craniocerebral gunshot wounds as fatal because mortality exceeds 96% and the majority of patients with such injuries die before hospitalization. A 23-year-old Ukrainian male soldier was admitted to a regional hospital with a severe perforating craniocerebral wound in a comatose state (Glasgow Coma Scale score, 5). Following brain helical computed tomography, the patient underwent primary treatment of the cerebral wound with primary duraplasty and inflow/outflow drainage. After 18 days of treatment in the intensive care unit, he was transferred to a military hospital for further rehabilitation. This report details our unusual case of successful treatment of a perforating diametric craniocerebral gunshot wound.
许多研究人员将贯穿性直径颅脑枪伤归类为致命伤，因为其死亡率超过96%，而且大多数此类伤者在住院前就已死亡。一名23岁的乌克兰男士兵因严重的贯穿性颅脑枪伤，昏迷状态（格拉斯哥昏迷量表评分5分）被送往一家地区医院。在进行脑部螺旋计算机断层扫描后，该患者接受了脑部伤口的初步治疗，包括初次硬脑膜成形术和进出引流。在重症监护病房接受18天治疗后，他被转至一家军事医院进行进一步康复治疗。本报告详细介绍了我们成功治疗一例贯穿性直径颅脑枪伤的特殊病例。
