摘要
目的总结85例枪弹伤早期外科处理的经验和教训。方法对肢体枪弹伤患者进行早期清创、引流并应用抗生素治疗,合并骨折者进行适当固定。20例切线伤中有15例行一期伤口闭合。结果85例枪弹伤的总感染率为23.5%,伤情较轻的切线伤感染者有8例。结论早期肢体枪弹伤处理应当重视创口的减压和充分引流,重视环境因素的影响。
Objective To summarize the experiences on surgical treatment to 85 cases with gunshot wounds in limbs. Methods Early wounds cleaning, draining and antibiotic application, and the suitable fixing for the incorporated fracture were applied. In addition, 15 of 20 cases with tangent wounds were sutured at the early stage. Results In the 85 cases with gunshot wounds, the infection ratio reached at 23.5% , while the number of the infection of the tangent wounds were 8 cases. Conclusion In the early treatment of gunshot wounds in limbs, it demands great attention to the wounds decompression, sufficient draining, and the impacts of the environmental elements.
出处
《首都医科大学学报》
CAS
2008年第5期643-645,共3页
Journal of Capital Medical University
关键词
枪弹伤
早期
外科处理
gunshot wounds, early stage, surgical treatment
