脊柱脊髓火器伤的救治(附170例报告)

Treatment of Firearm Wounds to Spinal Column and Spinal Cord (A report of 170 cases)

报告脊柱脊髓火器伤170例,经过积极救治,功能恢复基本正常9例,显著34例,进步40例,无效79例,死亡8例。本文着重讨论脊柱脊髓火器伤的特点。强调要早期急救、积极抗休克和优先处理危及生命的合并伤,需尽早彻底清创和行椎板切除减压术。

From 1979 to 1989, 170 cases of firearm wounds in spinal column and spinal cord were treated. Of them 9 cases were recovered, 34 cases regained satisfactory function, 40 cases improved, 79 cases had no effects and 8 cases died. This article presented clinic materials and discussed the characteristic of such wounds. It was emphasized the early treatment and antishock should be taken, the decompression with laminectomy be done timely and any complication be actively prevented.