Ledgerwood A M
Surg Clin North Am. 1977 Feb;57(1):97-109. doi: 10.1016/s0039-6109(16)41136-9.
Most bullets which enter the body usually exit or lodge within the soft tissues having traveled in a straight line. Management of such patients is usually a simple matter of repairing the injuries incurred during the passage of the bullet. Emphasis must be placed on the initial management of the patient and his life-threatening injuries. Secondly, localization of the bullet should be done. Lastly, determination as to whether the bullet should be removed should be based on the hazards of its staying in its present position versus the hazards of its attempted removal.
大多数进入人体的子弹通常会直线穿过并穿出或停留在软组织内。这类患者的治疗通常只需简单修复子弹穿过时造成的损伤。必须重视对患者的初始治疗以及危及生命的损伤。其次,要确定子弹的位置。最后,决定是否取出子弹应基于子弹留在当前位置的风险与试图取出子弹的风险。