Nechaev E A, Revskoĭ A K
Khirurgiia (Mosk). 1994 Mar(3):3-7.
Perfection of firearms led to injuries of a more severe character and, consequently, to increased frequency of wound infections and to their poorer clinical course. In view of which the role of secondary surgical debridement for the removal of the suppuration substrate increases as the most effective method for the treatment of infection-purulent complications of gunshot wounds. However, to gain good results in this case the principles of surgical debridement of gunshot wounds must be strictly followed. Only with adequately accomplished secondary surgical debridement will the other additional surgical and therapeutic measures produce a good effect on the purulent wound and on the organism of the injured person.
火器的完善导致了更严重的损伤，因此，伤口感染的频率增加，临床病程也更差。鉴于此，作为治疗枪伤感染性化脓并发症的最有效方法，二期外科清创术清除化脓病灶的作用日益凸显。然而，要想在这种情况下取得良好效果，必须严格遵循枪伤外科清创的原则。只有在充分完成二期外科清创后，其他额外的外科和治疗措施才会对化脓伤口和伤者机体产生良好效果。
