112例火器伤的临床分析

Glinical Analysis of 112 Cases of Weaponry Trauma

和平年代火器伤虽为少见，但时有发生，如处理不当可致终身残废或死亡．我院近２０年共收治火器伤１１２例，多数为矿山或工地执行爆破任务的青壮年，其次为少年儿童．本组治愈率为５４．５％，死亡率８％，致残率３７．５％，因而应高度重视火器伤的救治工作。对严重的火器伤应立即进行抢救、控制出血、纠正休克、保证呼吸道通畅，待生命体征稳定后再做进一步检查和处理．对火器伤的手术治疗应突出一个“早”字，不可延误．火器伤常造成多部位、多脏器伤，查体或探查胸腹腔时均应认真仔细全面．手术治疗要彻底，以防后患。和平年代的火器伤多数是可以避免的，有关部门应加强安全教育及安全生产措施的落实，以及各种枪支各种爆炸物品的管理，以防流入社会．

Though the weaponry trauma is rate in peace time,it occurs occasionally and can cause lifelong disability of even death. 1132 cases of weaponry trauma were admitted to our hospital in recent 20 years. Most of them were young workers undergoing explosive tasks in mine,some were teenagers. 54. 5% was cured, 8% mortality and 37. 5%was cripple in this group.So more attention should be paid to the treatment of the injury. The seriously traumatized patients must be treated immediately. When the fatal signs were in a steady state,further treatment and check could pro formed. Surgical operation must be done without any delay. Weaponry trauma is often multiarea and multiorgan injure,so a thorough check must be proformed before and during surgery of the thorax and the adbomen. The operation should be thorough to avoid complications.MOst of the weaponry trauma can be prevented in nowar time,safety working rules must be emphasised,Gun and explosive material must be kept in strict controll'