| 髂部火器伤并椎管内枪弹异物存留 |
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| 引用本文： | 农德毅,白宇,庄小强. 髂部火器伤并椎管内枪弹异物存留[J]. 中华创伤骨科杂志, 2004, 6(12): 1439-1440 |
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| 作者姓名： | 农德毅 白宇 庄小强 |
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| 作者单位： | 530001,南宁市,广西壮族自治区民族医院骨科 |
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| 摘 要： | 目的 探讨髂部火器伤并椎管内枪弹异物存留的诊治及临床疗效。方法 对收治的1例髂部火器伤并椎管内枪弹异物存留患者行急诊腰椎管内金属异物摘除术，并随访疗效。结果术后伤口甲级愈合，经3年随访，患者双下肢肌力及感觉均恢复正常。结论 火器伤所致的脊髓损伤致残率高，伤后宜急诊手术解除弹丸对脊髓的压迫，利于损伤神经的恢复。
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| 关 键 词： | 火器伤 异物存留 椎管内 枪弹 患者 随访 腰椎管 损伤神经 恢复 感觉 |
| 文章编号： | 1671-7600(2004)12-1439-02 |
| 修稿时间： | 2003-07-07 |
An iliac gun wound and a foreign bullet in vertebral canal |
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| NONG De-yi,BAI Yu,ZHUANG Xiao-qian g. An iliac gun wound and a foreign bullet in vertebral canal[J]. Chinese Journal of Orthopaedic Trauma, 2004, 6(12): 1439-1440 |
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| Authors: | NONG De-yi BAI Yu ZHUANG Xiao-qian g |
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| Affiliation: | NONG De-yi,BAI Yu,ZHUANG Xiao-qian g.The Department of Orthopaedics,The Hospital of Nationalities,Guangxi Zhuang Autonomous Region,Nanning 530001,China |
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| Abstract: | Objective To discuss the management of an iliac gun wound and a foreign bullet in vertebral canal.Methods Emergency surgery was done to remove the foreign object,a bullet,that had remained in the vertebral canal for a patient with an iliac gun wound and a foreign bullet i n vertebral canal.The therapeutic e ffects were followed up.Results The wound healed well after operatio n.The 3-year follow-up showed that t he muscle strength and sensibility of both low er extremities recovered to normal.Conclusion Since the spinal injury caused by gun wound is most likely to lead to d isability,emergency surgery is advisable to remove the oppression of bu llet onto the spinal cord so as to expedite the recovery of the affected nerve.[ |
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| Keywords: | Ilium Gun wound Spinal injury |
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