Flint L M, Voyles C R, Richardson J D, Fry D E
Arch Surg. 1978 Jun;113(6):727-8. doi: 10.1001/archsurg.1978.01370180069009.
Severe invasive infections around missiles or missile tracts may occur after transcolonic gunshot wounds. Observations in seven patients disclosed that infections of bone, soft tissue, retroperitoneum, and vascular structures resulted from the contamination of these tissues by missiles that had passed through the lumen of the colon. The infections were frequently obscure and difficult to diagnose unless the missile was considered to be a potential source of contamination. Two of seven patients died as a direct result of infection. Aggressive debridement of missile tracts, removal of accessible missiles, and adjunctive antibiotic therapy were useful.
经结肠枪伤后可能会发生围绕导弹或导弹轨迹的严重侵袭性感染。对7例患者的观察发现，骨、软组织、腹膜后和血管结构的感染是由穿过结肠腔的导弹污染这些组织所致。这些感染往往隐匿且难以诊断，除非将导弹视为潜在的污染源。7例患者中有2例直接死于感染。积极清创导弹轨迹、取出可触及的导弹以及辅助抗生素治疗是有效的。
