Demetriades D, Charalambides D
Department of Surgery, Baragwanath Hospital, Johannesburg, South Africa.
Br J Surg. 1993 Jun;80(6):772-3. doi: 10.1002/bjs.1800800641.
The role in the development of local sepsis of retained bullets that have passed through the colon was investigated. Of 84 patients with gunshot wounds of the colon, the bullet was retained in the body in 40 and had left or was removed from the body in 44. The groups were similar with regard to Revised Trauma Score, Injury Severity Score, Penetrating Abdominal Trauma Index and type of colonic trauma. The incidence of major local complications was 5 per cent in patients with a retained bullet and 7 per cent in those without. These results suggest that retained bullets that have penetrated the colon do not contribute to local septic complications.
研究了穿过结肠的留存子弹在局部脓毒症发展中的作用。在84例结肠枪伤患者中，40例子弹留存于体内，44例子弹已离开或被从体内取出。两组在修订创伤评分、损伤严重程度评分、穿透性腹部创伤指数和结肠创伤类型方面相似。留存子弹患者的主要局部并发症发生率为5%，未留存子弹患者为7%。这些结果表明，穿透结肠的留存子弹不会导致局部感染并发症。
