Rocca A, Leonetti G, Paoli J R
Faculté de Médecine, Marseille, France.
Ann Chir Plast Esthet. 1998 Apr;43(2):117-24.
After a brief review of portable firearms or small caliber guns, the authors discuss various concepts concerning wound ballistics. Kinetic energy plays an important part in the damaging action of bullets, while the concepts of "shock wave" and "stopping power" have been supereded by the definition of wound profiles. These profiles are characteristic of each bullet. Clinically, they take the form of a temporary cavitation zone and a permanent cavity. The reaction of tissues crossed by the bullet largely depend on the elasticity of these tissues and the presence of bone. The concept of high velocity bullets should be abandoned. The phenomenon of cavitation alone and its dramatic clinical consequences should be taken into account and must guide the therapeutic approach.
在简要回顾便携式火器或小口径枪支后，作者讨论了有关创伤弹道学的各种概念。动能在子弹的致伤作用中起着重要作用，而“冲击波”和“停止力”的概念已被创伤轮廓的定义所取代。这些轮廓是每颗子弹所特有的。临床上，它们表现为一个临时空化区和一个永久腔。被子弹穿过的组织的反应很大程度上取决于这些组织的弹性和骨骼的存在。高速子弹的概念应该被摒弃。仅空化现象及其显著的临床后果就应被考虑在内，并且必须指导治疗方法。
