Jourdan C, Convert J, Rousselle C, Wasylkiewicz I, Mirceswki V
Département anesthésie-réanimation, hôpital neurologique P-Wertheimer, Lyon, France.
Pediatrie. 1993;48(5):389-96.
The circumstances and the prognosis of six gunshot craniocerebral wounds in civilian children are presented. The cause is a suicide in two cases and an accident in four cases. In three out of these four cases, another person is responsible for this accident, an adult two times, a child in one case. When the accident is due to a child, it is always by play and one time the accident is the autofact of a 2-year-old boy. In all cases, the fire arm was loaded and an adult's imprudence is present. The mortality is important (4/6). More than the initial clinical state, the seriousness of which is not a pejorative indice, the prognosis is subordinated to the CT scan aspect about the missile tract, and to the initial value of the intracranial pressure.
本文介绍了6例平民儿童枪伤性颅脑损伤的情况及预后。病因方面，2例为自杀，4例为意外。在这4例意外中，有3例是由他人造成的，其中2例是成人，1例是儿童。当意外是由儿童造成时，均因玩耍所致，其中1例是一名2岁男孩的自伤行为。所有病例中，枪支均已上膛，存在成人的疏忽大意。死亡率较高（4/6）。预后不仅取决于初始临床状态（其严重程度并非预后不良的指标），还取决于CT扫描显示的弹道情况以及颅内压的初始值。
