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中华神经创伤外科电子杂志 ›› 2021, Vol. 07 ›› Issue (01) : 25 -28. doi: 10.3877/cma.j.issn.2095-9141.2021.01.006

所属专题: 经典病例 文献

颅脑损伤

平时颅脑火器伤临床救治体会(附235例报道)
谢佳芯1, 方芳1, 张社敏1, 戴志强1, 曹宁1, 邓洵鼎1, 封亚平1,()   
  1. 1. 650032 昆明,解放军联勤保障部队第九二〇医院神经外科
  • 收稿日期:2021-01-05 出版日期:2021-02-15
  • 通信作者: 封亚平

Treatment experience of civilian craniocerebral firearm wounds: a clinical report of 235 cases

Jiaxin Xie1, Fang Fang1, Shemin Zhang1, Zhiqiang Dai1, Ning Cao1, Xunding Deng1, Yaping Feng1,()   

  1. 1. Department of Neurosurgery, The 920th Hospital of Joint Logistics Support Force, Kunming 650032, China
  • Received:2021-01-05 Published:2021-02-15
  • Corresponding author: Yaping Feng
引用本文:

谢佳芯, 方芳, 张社敏, 戴志强, 曹宁, 邓洵鼎, 封亚平. 平时颅脑火器伤临床救治体会(附235例报道)[J]. 中华神经创伤外科电子杂志, 2021, 07(01): 25-28.

Jiaxin Xie, Fang Fang, Shemin Zhang, Zhiqiang Dai, Ning Cao, Xunding Deng, Yaping Feng. Treatment experience of civilian craniocerebral firearm wounds: a clinical report of 235 cases[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2021, 07(01): 25-28.

目的

总结平时颅脑火器伤患者的临床救治经验,以提高颅脑火器伤救治水平。

方法

回顾性总结解放军联勤保障部队第九二〇医院神经外科自1979年1月至2019年12月收治的235例颅脑火器伤患者的临床资料,根据患者出院时GOS评分评定治疗效果。

结果

本组患者中存活203例(86.4%),死亡32例(13.6%)。出院时恢复良好108例(53.2%),中度残疾51例(25.1%),重度残疾30例(14.8%),植物生存14例(6.9%)。

结论

迅速准确判断伤情、及时彻底行急诊清创手术、早期行康复治疗对提高颅脑火器伤患者的临床救治效果有重要意义。

Objective

To summarize the clinical treatment experience of civilian craniocerebral firearm wounds, for the benefit of improving the treatment level of craniocerebral firearm wounds.

Methods

A number of 235 patients with craniocerebral firearm wounds in Neurosurgery Department of 920th Hospital of Joint Logistics Support Force from January 1979 to December 2019 were analyzed retrospectively. The therapeutic outcomes were evaluated by GOS at discharge.

Results

Finally 203 cases (86.4%) survived and 32 cases (13.6%) died. On discharge, 108 cases (53.2%) recovered well, 51 cases (25.1%) with moderate disability, 30 cases (14.8%) with severe disability, and 14 cases (6.9%) had plant survival.

Conclusion

Quick and accurate judgment of the injury, timely and thorough emergency debridement surgery, and early rehabilitation are of great significance to improve the clinical treatment of patients with craniocerebral firearm wounds.

表1 入院时GCS评分与治疗效果关系
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