高原颅脑火器伤的特点及诊治方法  

Characteristics,diagnosis and treatment of craniocerebral firearm trauma at high altitude

作　　者：李越 李兵仓 Li Yue;Li Bingcang(Department of Neurosurgery,986th Hospital of Air Force,Xi′an 710054,China;Research Institute of Surgery,State Key Laboratory of Trauma,Burns and Combined Injury,Daping Hospital,Army Medical University,Chongqing 400042,China)

机构地区：[1]空军第九八六医院神经外科,西安710054 [2]陆军军医大学大坪医院野战外科研究部,创伤烧伤复合伤国家重点实验室,重庆400042

出　　处：《中华创伤杂志》2022年第8期741-746,共6页Chinese Journal of Trauma

摘　　要：高原颅脑火器伤损伤程度重、预后差。与平原比较, 高原低压、低氧、寒冷、气候干燥, 子弹飞行速度更快、射程更远、撞击动能更大, 故造成脑组织损伤更重, 病死率更高。然而, 目前对于高原颅脑火器伤的研究甚少。因此, 笔者结合平原颅脑火器伤的特点, 探讨高原颅脑火器伤的流行病学和病理特点, 分析高原颅脑火器伤的诊治要点, 为高原颅脑火器伤的基础研究和临床诊治提供参考。The high-altitude craniocerebral firearm trauma can induce severe injuries with poor prognosis.Compared with the plain area,the bullets show faster velocity,longer shooting range,and greater kinetic energy due to the low pressure,low oxygen,cold,and dry climate at high altitude,resulting in more serious cerebral tissue damage and higher mortality.At present,there are few studies over craniocerebral firearm trauma at high altitude.Therefore,the authors discuss craniocerebral firearm trauma at high altitude from aspects of epidemiological and pathological characteristics,diagnosis,and treatment in combination with the situation in plain area,so as to provide a reference for the basic research and clinical treatment of craniocerebral firearm trauam at high altitude.

关 键 词：颅脑损伤 火器 高原 

分 类 号：R827[医药卫生—临床医学]