头部切线枪伤的平民病例。

Civilian cases of tangential gunshot wounds to the head.

作者信息

Stone J L, Lichtor T, Fitzgerald L F, Gandhi Y N

机构信息

Division of Neurosurgery, Cook County Hospital, Chicago, IL 60612, USA.

出版信息

J Trauma. 1996 Jan;40(1):57-60. doi: 10.1097/00005373-199601000-00011.

DOI:10.1097/00005373-199601000-00011

PMID:8577000

Abstract

A series of 168 civilian cases of tangential gunshot wounds to the head is presented. Neurologic deficits on presentation were generally minimal. Computed tomographic (CT) scans were performed in 51% of patients, and abnormal CT findings were noted in 35% (18% of all patients). Major operative procedures were required in 9% of the patients. Serious sequelae of tangential injuries are described even with patients who initially have no neurologic abnormality. We suggest that a CT scan is warranted in all cases of tangential gunshot wounds to the head.

摘要

本文报告了168例头部切线状枪伤的平民病例。就诊时神经功能缺损一般较轻。51%的患者进行了计算机断层扫描（CT），其中35%（占所有患者的18%）发现CT异常。9%的患者需要进行大型手术。即使是最初没有神经异常的患者，也描述了切线状损伤的严重后遗症。我们建议，所有头部切线状枪伤病例均应进行CT扫描。