Raju S
Am J Surg. 1979 Sep;138(3):421-5. doi: 10.1016/0002-9610(79)90277-0.
Even though shotgun injuries are often grouped with gunshot wounds, the former are ballistically and clinically far different from gunshot wounds. Two groups of patients with shotgun and gunshot wounds of the extremities, respectively, were compared with regard to clinical features. Although the vascular wound was the most dramatic aspect in both groups of patients, associated injuries, especially to the nerves and bones, played a significant role in the ultimate rehabilitation of the patients with shotgun wounds. Shotgun injuries more frequently required the use of saphenous vein grafts than did gunshot wounds. The infection and amputation rates were much higher in patients with shotgun wounds than in those with gunshot wounds. Patients with shotgun injuries of the extremities often required secondary reconstructive procedures such as tendon transfer or bone and joint fusion. Despite these measures the outlook for the ultimate rehabilitation of the extremity after shotgun injury was dismal, whereas after gunshot wounds complete rehabilitation was the rule.
尽管猎枪伤通常与枪伤归为一类，但前者在弹道学和临床上与枪伤有很大不同。分别对两组上肢猎枪伤和枪伤患者的临床特征进行了比较。虽然血管损伤在两组患者中都是最显著的方面，但相关损伤，尤其是对神经和骨骼的损伤，在猎枪伤患者的最终康复中起着重要作用。与枪伤相比，猎枪伤更频繁地需要使用大隐静脉移植。猎枪伤患者的感染率和截肢率远高于枪伤患者。上肢猎枪伤患者常常需要诸如肌腱转移或骨与关节融合等二期重建手术。尽管采取了这些措施，猎枪伤后上肢最终康复的前景依然黯淡，而枪伤后通常能完全康复。
