Fackler M L
Ann Emerg Med. 1986 Dec;15(12):1451-5. doi: 10.1016/s0196-0644(86)80941-6.
Wound profiles made under controlled conditions in the wound ballistics laboratory at the Letterman Army Institute of Research showed the location along their tissue path at which projectiles cause tissue disruption and the type of disruption (crush from direct contact with the projectile or stretch from temporary cavitation). Comparison of wound profiles showed the fallacy in attempting to judge wound severity using velocity alone, and laid to rest the common belief that in treating a wound caused by a high-velocity missile, one needs to excise tissue far in excess of that which appears damaged. All penetrating projectile wounds, whether civilian or military, therefore should be treated the same regardless of projectile velocity. Diagnosis of the approximate amount and location of tissue disruption is made by physical examination and appropriate radiographic studies. These wounds are contaminated, and coverage with a penicillin-type antibiotic should be provided.
在莱特曼陆军研究所伤口弹道实验室的可控条件下制作的伤口剖面图显示了射弹在其组织路径上造成组织破坏的位置以及破坏类型（与射弹直接接触造成的挤压或暂时空化造成的拉伸）。伤口剖面图的比较显示了仅用速度来判断伤口严重程度的谬误，并平息了一种普遍的观念，即治疗高速导弹造成的伤口时，需要切除远远超过看起来受损的组织。因此，所有穿透性射弹伤口，无论是民用还是军用，无论射弹速度如何，都应采用相同的治疗方法。通过体格检查和适当的放射学检查来诊断组织破坏的大致范围和位置。这些伤口已被污染，应使用青霉素类抗生素进行覆盖治疗。
