Goodstein W A, Stryker A, Weiner L J
J Trauma. 1979 Dec;19(12):961-4. doi: 10.1097/00005373-197912000-00005.
The treatment of close-range shotgun wounds to the face can be extremely difficult. Over the years, surgeons have progressed from the conservative approach of debridement and delayed reconstruction to that of immediate reconstruction. While the complex nature of these injuries requires treatment on an individual basis, the principles of conservative debridement, thorough wound cleansing, and primary replacement of soft-tissue defects will often result in a better functional and esthetic restoration in a shorter period of time. Five patients with shotgun facial wounds managed by individualized primary repair are discussed.
面部近距离猎枪伤的治疗可能极其困难。多年来，外科医生已从清创和延迟重建的保守方法发展到即刻重建。虽然这些损伤的复杂性需要个体化治疗，但保守清创、彻底伤口清洁以及软组织缺损一期修复的原则通常会在更短时间内带来更好的功能和美学恢复。本文讨论了5例采用个体化一期修复治疗的猎枪面部伤口患者。
