Röthlin M, Vilà A, Trentz O
Departement Chirurgie, Universitätsspital Zürich.
Helv Chir Acta. 1994 Jul;60(5):817-22.
Between 1981 and 1990, 105 patients suffering from gunshot and stab wounds were admitted to the Department of Surgery of Zürich University Hospital. There were 17 female and 88 male patients aged 16-74 years (average 31 years) whose charts were studied retrospectively. 44 patients demonstrated gunshot injuries, while 60 suffered from stabwounds and 1 patient had both. The injuries were the result of a crime in 59, a suicide in 33 and an accident in 11 cases. In 2 patients the cause was not conclusive proven. Injuries to the lung (n = 54), the liver (n = 27) and to the stomach (n = 23) were seen most frequently. 45 patients underwent laparotomy, while 16 had a thoracotomy performed. Both thoracotomy and laparotomy were necessary in 10 cases. Complications were observed in 29.5% of the cases. They were significantly more frequent in patients with gunshot injuries (p < 0.0004). Overall mortality amounted to 14.3% (n = 15). Patients with gunshot wounds had a significantly higher mortality rate (p < 0.0005). Debridement and selective closure of the wounds (n = 25) did not result in a higher rate of abscess formation than open treatment (n = 17).
1981年至1990年间，苏黎世大学医院外科收治了105例枪伤和刺伤患者。其中有17名女性和88名男性患者，年龄在16至74岁之间（平均31岁），对他们的病历进行了回顾性研究。44例为枪伤，60例为刺伤，1例两者皆有。59例受伤是犯罪所致，33例是自杀，11例是意外。2例患者的病因未得到确凿证实。最常见的受伤部位是肺（n = 54）、肝（n = 27）和胃（n = 23）。45例患者接受了剖腹手术，16例进行了开胸手术。10例患者既需要开胸手术也需要剖腹手术。29.5%的病例出现了并发症。在枪伤患者中并发症明显更常见（p < 0.0004）。总体死亡率为14.3%（n = 15）。枪伤患者的死亡率明显更高（p < 0.0005）。伤口清创和选择性缝合（n = 25）与开放治疗（n = 17）相比，脓肿形成率并未更高。
