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平时46例颅脑投射物伤救治分析
引用本文:荔志云,周杰,武弋,王钰,田立桩,雷鹏,翁潮弟,黄艳萍. 平时46例颅脑投射物伤救治分析[J]. 创伤外科杂志, 2008, 10(1): 4-5
作者姓名:荔志云  周杰  武弋  王钰  田立桩  雷鹏  翁潮弟  黄艳萍
作者单位:兰州军区兰州总医院神经外科,甘肃,兰州,730050
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.

关 键 词:颅脑损伤  火器伤  立体定向  异物摘除  颅脑  救治分析  missile  induced  craniocerebral injury  cases  treatment  救治水平  死亡率  伤残率  手术方法  选择  弹片  弹头  颅内  防治  并发症  彻底清创  早期  成功救治
文章编号:1009-4237(2008)01-0004-02
修稿时间:2007-06-26

Analysis of treatment in 46 cases with craniocerebral injury induced by missile projectiles in peacetime
LI Zhi-yun,ZHOU Jie,WU Yi,et al.. Analysis of treatment in 46 cases with craniocerebral injury induced by missile projectiles in peacetime[J]. Journal of Traumatic Surgery, 2008, 10(1): 4-5
Authors:LI Zhi-yun  ZHOU Jie  WU Yi  et al.
Affiliation:LI Zhi-yun,ZHOU Jie,WU Yi,et al.(Department of Neurosurgery,Lanzhou General Hospital,Lanzhou Comm,,PLA,Lanzhou 730050,China)
Abstract: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...
Keywords:craniocerebral injury  firearm injury  stereotaxis  removal of extraneous matter  
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