平时火器伤初期外科处理方法的实验研究和临床应用

报告平时火器伤４４例，在其初期外科处理中多未采用传统的“切除失活组织”（切除）的原则，而设计了“切开、引流”（切开）的处理方法，取得良好疗效，还对犬平时火器伤模型，分别采用上述两种方法处理，系统观察并发症的发生率，伤道引流量及细菌定量计数等资料，结果显示：在平时火器伤的初期外科处理中，两种方法对感染等并发症的防治效果无显著差别，切开法在简化操作，减少手术并发症等方面优于切除法。

Initial Surgery for Gunshot Wounds in Peace Time:A Clinical and Experimental Study

Gunshot wounds in peace time are on the increase.They are different from those in war time and should not be treated according to the rule which prevails in war time.The article reported 44 gunshot wounds of extremities in peace time,including rifle,shotgun and nailgun wounds.The authors adopted the method of "incision and drainage (incision)",instead of the traditional method of "wound excision (excision)" in the initial surgery.An excellent result was obtained in clinical practice.The experimental study was carried out using canine model of gunshot wounds of extremities.In one group,incision was done and in another excision was executed.Complications and quantity of drainage from wound tracks,quantitative counting of bacteria was done.The result suggested that there was no difference in the effectiveness in preventing infection and the other complications between the two methods,and "incision" might be more advantageous over "excision" with reference to operative simplification and decrease of operative complications for the gunshot wounds of extremities in peace time.(Original article on page 200)