平时46例颅脑投射物伤救治分析  

Analysis of treatment in 46 cases with craniocerebral injury induced by missile projectiles in peacetime

作　　者：荔志云[1] 周杰[1] 武弋[1] 王钰[1] 田立桩[1] 雷鹏[1] 翁潮弟[1] 黄艳萍[1] 

机构地区：[1]兰州军区兰州总医院神经外科,甘肃兰州730050

出　　处：《创伤外科杂志》2008年第1期4-5,共2页Journal of Traumatic Surgery

摘　　要：目的探讨平时颅脑投射物伤的临床特点和救治原则。方法回顾性总结46例平时颅脑投射物伤的损伤特点和救治情况。本组非穿透伤9例、盲管伤36例、切线伤1例,无贯通伤。合并胸外伤1例,失血性休克2例,眼球毁损3例。结果恢复良好31例(67.39%);中度残废12例(26.09%);重度残废2例(4.35%);死亡1例(2.17%)。其中1例脑干穿透伤患者成功救治。结论早期彻底清创,重视并发症的防治。根据颅内弹头弹片滞留的不同情况选择合理的手术方法,是降低伤残率及死亡率、进一步提高救治水平的关键。Objective To investigate the clinical features and treatment principles of craniocerebral injury induced by missile projectiles in peacetime. Methods The characteristics of injury and treatment methods were reviewed retrospectively in 46 cases with craniocerebral injury induced by missile projectiles in peacetime. In all of these cases, there were 9 cases of non-perforating wounds, 36 cases of blind tract wounds, 1 case of tangential wound. No cases of penetrating wound, 1 case of craniocerebral firearm wound with chest trauma,2 cases with hemorrhagic shock,3 cases with eyeball damage. Results The outcomes were as follows： good 31 cases （67.39%） , moderately disabled 12 cases（26.08% ） ,severely diabled 2 cases（4.13% ） , 1 case died,and 1 case with perforating wound of brain stem was cured. Conclusion To decrease the morbidity and mortality and improve the cure standards,it is very important to debride thoroughly as early as possible, pay attention to reduce the complications, select the right methods of operation according to the conditions of bullet or bullet fragment stagnated intracalvarium.

关 键 词：颅脑损伤 火器伤 立体定向 异物摘除 

分 类 号：R651.15[医药卫生—外科学]