Johansen J G
Nevrokirurgisk avdeling, Kirurgisk Klinikk, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1997 Jan 20;117(2):236-40.
37 patients with penetrating injuries of the head or upper neck caused by gunshot wounds were admitted to the neurosurgical department during the ten-year period 1986 to 1995. There was a marked preponderance of males. 29 of the cases were attempted or successful suicides, four were homicides, and four were presumed to be accidents. The most common weapons used were pistol and rifle. Nine patients were under the influence of alcohol or drugs. There were eight survivors, seven of whom were operated on. Four of the patients suffered reduced vision, two of whom became blind. Two had hemiparesis, one had moderate mental dysfunction, and one recovered completely. None of the patients who were unconscious upon admission to hospital and had bilateral brain injury survived.
在1986年至1995年的十年间,37例因枪伤导致头部或上颈部穿透伤的患者被收治入神经外科。男性明显居多。其中29例为自杀未遂或自杀成功,4例为他杀,4例被推测为意外事故。最常用的武器是手枪和步枪。9名患者受到酒精或药物影响。有8名幸存者,其中7人接受了手术。4名患者视力下降,其中2人失明。2人有偏瘫,1人有中度精神功能障碍,1人完全康复。入院时昏迷且双侧脑损伤的患者无一存活。