Gundorova R A, Bykov V P, Petriashvili G G, Lekishvili G R
Department of Traumatology, Plastic and Reconstructive Surgery and Eye Prosthesis, NII of Eye Diseases of Gel'mgol'ts, Moscow.
Vestn Oftalmol. 1996 Sep-Oct;112(4):10-12.
The clinical picture of an injury inflicted with gas pistols represents polymorphous changes and severe injury to the organ of vision, involving not only the anterior segment, but the deep structures as well. Analysis of the status of the damaged eyes and the mechanism of injury permitted us to distinguish 3 clinical groups in terms of the intensity of exposure to this or that factor: 1) chemical burn of the cornea and conjunctiva (65 patients); 2) chemical burn with elements of thermal involvement and impregnation of tissues with particles of gunpowder that failed to burn and slight or medium-severe contusion of the eyeball (31 patients): and 3) severe thermochemical burn with grave contusion of the eyeball, sometimes with rupture of membranes (6 patients). Hence, we may conclude that the consequences of using gas weapons differ from those described in the Status of Gas Weapons Application and in advertising materials by a much greater severity, and in 11.7% cases such injuries led to complete irreversible loss of vision. Obviously the shortest distance from which it may be allowed to shoot from gas pistols should be increased to 1 meter.
气手枪造成的损伤临床表现呈现多形性变化,对视觉器官造成严重损伤,不仅累及眼前段,还包括深部结构。通过对受损眼睛状况和损伤机制的分析,我们根据不同因素的暴露强度区分出3个临床组:1)角膜和结膜化学烧伤(65例患者);2)伴有热损伤成分和未燃烧火药颗粒组织浸渍以及眼球轻度或中度严重挫伤的化学烧伤(31例患者);3)伴有严重眼球挫伤、有时伴有膜破裂的严重热化学烧伤(6例患者)。因此,我们可以得出结论,使用气枪武器的后果比《气枪武器应用状况》和广告材料中描述的严重得多,在11.7%的病例中,此类损伤导致完全不可逆的视力丧失。显然,允许使用气手枪射击的最短距离应增加到1米。