摘要
火器性颅脑损伤属于头部创伤中的常见类型,在战争及和平时期均较多见.作者回顾性分析西京医院1973年至1994年期间收治6487例的中、重型头部外伤伤员(格拉斯哥昏迷计分3~12分)中,56例为火器性颅脑穿透伤.男49例(87.5%),女7例(12.5%),年龄平均23.8(3月~51)岁.火器伤类型包括:切线伤3例;盲管伤39例;贯通伤14例.损伤的特点是,伤情急、创伤重、病情变化快.经急救和手术处理,6例死亡(10.7%).于3个月时随访研究表明,36例(46.4%)恢复良好;轻残、重残及植物生存率分别为28.6%,14.3%和2%.长期随访研究结果,35例恢复满意,其中28例恢复工作能力.文中讨论了对本类损伤的救治原则和手术处理要点.
Penetrating craniocerebral firearm injuries remains one of the most lethal of all head
traumas andare common in both war and peace time. Data were reviewed for 6487 moderately,
severely head- injuring pa-tients[Glasgow Coma Scale (GCS)scores 3 to 12] treated at Xijing
Hospital between 1973 and 1994; Fifty-six of these patients had penetrating craniocerebral
injuries caused by firearms. These patients consisted of 49males (87.5%)and 7 females
(12.5%)ranging in age from 3 months to 51 years (median 23. 8 years). Thetypes of firearm
wound included 3 cases of tangential wound, 39 cases of tubular wound, 14 cases of
through-and- through wound. These cases were characterized by acuteness, severity and
unstability. After emergencytreatment and operation, 6 cases died(10.7%). The follow- up
studies in the third month showed that 26cases(46.4%)had a good recovery, and the rates of
moderate disability, severe disability and vegetativestate in this series were 28.6%, 14.3%and
2.0 %respectively. And long- term follow- up studies indicatedthat 35 patients were
satisfactorily recuperated and 28 patients were able to resume their occupation. Theprinciples
for dealing with penetrating craniocerebral firearm injuries and the hints for operation were
dis-cussed in this paper.
出处
《第四军医大学学报》
1995年第5期333-337,共5页
Journal of the Fourth Military Medical University
基金
全军回国留学人员基金