Stromberg B V
South Med J. 1978 Sep;71(9):1087-8. doi: 10.1097/00007611-197809000-00012.
Of 41 consecutive patients with low-velocity gunshot wounds to the hand, 28 were treated by superficial debridement of wound edges and 13 were treated by meticulous debridement and exploration under operating room conditions. All patients received antibiotics. All wounds were closed primarily. Some had small drains for 24 to 48 hours. There were no complications of exploration. Of the 28 patients whose wounds were not explored, 16 had complications or residual deficits that required exploration. Hospital stay of the two groups was similar. Surgical exploration of low-velocity gunshot wounds to the hand is recommended.
在41例连续的手部低速枪伤患者中，28例采用伤口边缘浅层清创术治疗，13例在手术室条件下进行细致清创和探查。所有患者均接受抗生素治疗。所有伤口均一期缝合。部分患者留置小引流管24至48小时。探查无并发症发生。在28例未进行伤口探查的患者中，16例出现并发症或残留功能障碍，需要进行探查。两组患者的住院时间相似。建议对手部低速枪伤进行手术探查。
