切换至 "中华医学电子期刊资源库"

中华神经创伤外科电子杂志 ›› 2021, Vol. 07 ›› Issue (04) : 220 -223. doi: 10.3877/cma.j.issn.2095-9141.2021.04.007

颅脑与脊髓损伤

颅脑火器伤预后影响因素的研究进展
陈宇晖1, 田君2, 王守森2,()   
  1. 1. 350122 福州,福建医科大学福总临床医学院
    2. 350025 福州,联勤保障部队第九〇〇医院神经外科
  • 收稿日期:2021-01-13 出版日期:2021-08-11
  • 通信作者: 王守森
  • 基金资助:
    联勤保障部队第九〇〇医院院内课题(2020Z04)

Research progress of prognostic factors of craniocerebral gunshot injury

Yuhui Chen1, Jun Tian2, Shousen Wang2,()   

  1. 1. Fuzong Clinical Medical College of Fujian Medical University, Fuzhou 350122, China
    2. Department of Neurosurgery, the 900 Hospital of Joint Logistics Team, Fuzhou 350025, China
  • Received:2021-01-13 Published:2021-08-11
  • Corresponding author: Shousen Wang
引用本文:

陈宇晖, 田君, 王守森. 颅脑火器伤预后影响因素的研究进展[J]. 中华神经创伤外科电子杂志, 2021, 07(04): 220-223.

Yuhui Chen, Jun Tian, Shousen Wang. Research progress of prognostic factors of craniocerebral gunshot injury[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2021, 07(04): 220-223.

颅脑火器伤(CGI)救治难度大,死亡率高。目前研究多集中于普通创伤性颅脑损伤,而对CGI这一特殊类型尚未提出明确的预后影响因素,且不同地区、国家间的诊断缺乏一致性,容易导致误诊、漏诊,延误治疗时机。本文围绕近年来CGI预后影响因素的研究进展进行综述,以提高对CGI预后因素的认识,为CGI患者救治处理和预后判断提供参考。

Craniocerebral gunshot injury (CGI) is difficult to treat and has a high mortality rate. At present, most researches focus on ordinary traumatic brain injury, but no clear prognostic factors have been proposed for the special types of CGI, and there is a lack of consistency in diagnosis between different regions and countries, which easily leads to misdiagnosis, missed diagnosis, and delays the treatment opportunity. This article reviews the research progress of prognostic factors of CGI in recent years, in order to improve the understanding of prognostic factors of CGI and provide reference for the treatment and prognosis judgment of patients with CGI.

[1]
Deng H, Yue JK, Winkler EA, et al. Adult firearm-related traumatic brain injury in united states trauma centers[J]. J Neurotrauma, 2019, 36(2): 322-337.
[2]
Smith ER, Sarani B, Shapiro G, et al. Incidence and cause of potentially preventable death after civilian public mass shooting in the US[J]. J Am Coll Surg, 2019, 229(3): 244-251.
[3]
Maragkos GA, Papavassiliou E, Stippler M, et al. Civilian gunshot wounds to the head: prognostic factors affecting mortality: meta-analysis of 1774 patients[J]. J Neurotrauma, 2018, 35(22): 2605-2614.
[4]
Alvis-Miranda HR, M Rubiano A, Agrawal A, et al. Craniocerebral gunshot injuries; a review of the current literature[J]. Bull Emerg Trauma, 2016, 4(2): 65-74.
[5]
Alexopoulos G, Quadri N, Khan M, et al. Ballistic lobar trajectory outcomes in civilian firearm penetrating brain injury[J]. J Neurosurg, 2021, 135(2): 574-583.
[6]
Mansour A, Loggini A, Goldenberg FD, et al. Coagulopathy as a surrogate of severity of injury in penetrating brain injury[J]. J Neurotrauma, 2021, 38(13): 1821-1826.
[7]
Kim LH, Quon JL, Cage TA, et al. Mortality prediction and long-term outcomes for civilian cerebral gunshot wounds: a decision-tree algorithm based on a single trauma center[J]. J Clin Neurosci, 2020, 75: 71-79.
[8]
Robinson LA, Turco LM, Robinson B, et al. Outcomes in patients with gunshot wounds to the brain[J]. Trauma Surg Acute Care Open, 2019, 4(1): e000351.
[9]
Khan MB, Kumar R, Irfan FB, et al. Civilian craniocerebral gunshot injuries in a developing country: presentation, injury characteristics, prognostic indicators, and complications[J]. World Neurosurg, 2014, 82(1-2): 14-19.
[10]
Williams JR, Aghion DM, Doberstein CE, et al. Penetrating brain injury after suicide attempt with speargun: case study and review of literature[J]. Front Neurol, 2014, 5: 113.
[11]
Geeraerts T, Velly L, Abdennour L, et al. Management of severe traumatic brain injury (first 24hours)[J]. Anaesth Crit Care Pain Med, 2018, 37(2): 171-186.
[12]
Can Ç, Bolatkale M, Sarıhan A, et al. The effect of brain tomography findings on mortality in sniper shot head injuries[J]. J R Army Med Corps, 2017, 163(3): 211-214.
[13]
Cushing H. Notes on penetrating wounds of the brain[J]. Br Med J, 1918, 1(2982): 221-226.
[14]
Matson DD. The treatment of acute craniocerebral injuries due to missiles[M]. Springfield: CHARLES C THOMAS·PUBLISHER, LLC, 2013.
[15]
Izci Y, Kayali H, Daneyemez M, et al. Comparison of clinical outcomes between anteroposterior and lateral penetrating craniocerebral gunshot wounds[J]. Emerg Med J, 2005, 22(6): 409-410.
[16]
Epstein DS, Mitra B, O’Reilly G, et al. Acute traumatic coagulopathy in the setting of isolated traumatic brain injury: a systematic review and meta-analysis[J]. Injury, 2014, 45(5): 819-824.
[17]
袁强,胡锦. 颅脑创伤后凝血功能障碍的临床与循证[J]. 天津医药, 2017, 45(8): 799-803.
[18]
Maegele M, Schöchl H, Menovsky T, et al. Coagulopathy and haemorrhagic progression in traumatic brain injury: advances in mechanisms, diagnosis, and management[J]. Lancet Neurol, 2017, 16(8): 630-647.
[19]
Folkerson LE, Sloan D, Davis E, et al. Coagulopathy as a predictor of mortality after penetrating traumatic brain injury[J]. Am J Emerg Med, 2018, 36(1): 38-42.
[20]
Aiyagari V, Menendez JA, Diringer MN. Treatment of severe coagulopathy after gunshot injury to the head using recombinant activated factor VII[J]. J Crit Care, 2005, 20(2): 176-179.
[21]
Epstein DS, Mitra B, Cameron PA, et al. Normalization of coagulopathy is associated with improved outcome after isolated traumatic brain injury[J]. J Clin Neurosci, 2016, 29: 64-69.
[22]
Loggini A, Vasenina VI, Mansour A, et al. Management of civilians with penetrating brain injury: a systematic review[J]. J Crit Care, 2020, 56: 159-166.
[23]
Epstein DS, Mitra B, Cameron PA, et al. Acute traumatic coagulopathy in the setting of isolated traumatic brain injury: definition, incidence and outcomes[J]. Br J Neurosurg, 2015, 29(1): 118-122.
[24]
Chhabra G, Rangarajan K, Subramanian A, et al. Hypofibrinogenemia in isolated traumatic brain injury in indian patients[J]. Neurol India, 2010, 58(5): 756-757.
[25]
袁丁,陈治强. 颅脑损伤患者急性期凝血功能及D-二聚体改变的临床研究[J]. 中国实用神经疾病杂志, 2018, 21(2): 180-183.
[26]
黄俊强,熊元元,李威, 等. 凝血功能异常与颅脑外伤患者伤情严重程度及预后的关系[J]. 临床神经外科杂志, 2017, 14(2): 145-148.
[27]
Chen J, Qu X, Li Z, et al. Peak neutrophil-to-lymphocyte ratio correlates with clinical outcomes in patients with severe traumatic brain injury[J]. Neurocrit Care, 2019, 30(2): 334-339.
[28]
Zhao JL, Du ZY, Yuan Q, et al. Prognostic value of neutrophil-to-lymphocyte ratio in predicting the 6-month outcome of patients with traumatic brain injury: a retrospective study[J]. World Neurosurg, 2019, 124: e411-e416.
[29]
张小兵,高亮,吉宋泉, 等. 中性粒细胞-淋巴细胞比值在颅脑损伤预后评估中的作用[J]. 中国临床神经外科杂志, 2020, 25(7): 441-442, 446.
[30]
Siwicka-Gieroba D, Malodobry K, Biernawska J, et al. The neutrophil/lymphocyte count ratio predicts mortality in severe traumatic brain injury patients[J]. J Clin Med, 2019, 8(9): 1453.
[31]
张颖蕊,于荣国. 生物标志物在颅脑损伤中的应用[J]. 创伤与急诊电子杂志, 2013, 1(2): 4-7, 23.
[32]
Kim KA, Wang MY, McNatt SA, et al. Vector analysis correlating bullet trajectory to outcome after civilian through-and-through gunshot wound to the head: using imaging cues to predict fatal outcome[J]. Neurosurgery, 2005, 57(4): 737-747; discussion 737-747.
[33]
李幼生. 非创伤患者应用损伤控制性外科的理论与实践[J]. 医学研究生学报, 2007, 20(5): 449-450.
[34]
冯筑生,尹文. 损伤控制外科临床研究进展[J]. 临床误诊误治, 2014, 27(7): 35-37.
[35]
Rosenfeld JV. Damage control neurosurgery[J]. Injury, 2004, 35(7): 655-660.
[36]
Gruen DS, Guyette FX, Brown JB, et al. Association of prehospital plasma with survival in patients with traumatic brain injury: a secondary analysis of the PAMPer cluster randomized clinical trial[J]. JAMA Netw Open, 2020, 3(10): e2016869.
[37]
肖虹,黄警锐,胡唏, 等. 损伤控制性手术在178例以重型颅脑损伤为主的多发伤中的应用[J]. 第三军医大学学报, 2012, 34(19): 2012-2015.
[38]
吴嘉铭,程龙飞,王向宇, 等. 损伤控制神经外科理念在双侧额叶脑挫裂伤患者救治中的应用[J]. 中华神经医学杂志, 2019, 18(6): 563-569.
[39]
Bell RS, Mossop CM, Dirks MS, et al. Early decompressive craniectomy for severe penetrating and closed head injury during wartime[J]. Neurosurg Focus, 2010, 28(5): E1.
[40]
罗勇勇,蒋宇钢. 损害控制外科技术在神经外科领域中的应用[J]. 创伤外科杂志, 2013, 15(4): 383-384,封3.
[41]
冯华,李飞,朱刚, 等. 重视损伤控制理论在重型颅脑损伤患者救治中的应用[J]. 中华创伤杂志, 2010, 26(10): 865-867.
[1] 唐芹芳, 孙明忠, 傅庆萍, 肖丽华, 颜冬梅, 王颖, 季宏建. 糖尿病患者索氏梭菌感染致中毒性休克综合征一例[J]. 中华实验和临床感染病杂志(电子版), 2022, 16(05): 354-358.
[2] 翟志超, 王延召, 雷福明. 结直肠癌脑转移的临床进展[J]. 中华结直肠疾病电子杂志, 2021, 10(02): 117-121.
[3] 郑国良, 郑志超, 赵岩. 胃肠道外间质瘤预后因素分析[J]. 中华结直肠疾病电子杂志, 2019, 08(03): 236-240.
[4] 张文豪, 马强, 高健, 续斌, 赵信迪, 牟利民, 艾尔西丁·阿不来提, 沈志敏. 髌股韧带重建治疗髌骨外脱位影响因素的研究进展[J]. 中华老年骨科与康复电子杂志, 2021, 07(06): 379-384.
[5] 李世明, 黄蔚, 刘玲. HMGB1介导脓毒症相关凝血功能障碍的作用机制及其治疗进展[J]. 中华重症医学电子杂志, 2023, 09(03): 269-273.
[6] 周飞虎. 产后大出血:凝血功能调节[J]. 中华重症医学电子杂志, 2021, 07(04): 289-292.
[7] 游潮. 出凝血功能障碍性脑出血救治策略[J]. 中华脑科疾病与康复杂志(电子版), 2021, 11(02): 127-128.
[8] 刘战涛, 宋艳秋. 三阴性乳腺癌的临床病理特征及预后因素分析[J]. 中华临床医师杂志(电子版), 2020, 14(05): 337-343.
[9] 赵飞龙, 王斌, 祖庆泉, 赵林波, 贾振宇, 施海彬, 刘圣. 血管内栓塞治疗后交通动脉动脉瘤性动眼神经麻痹临床效果及预后因素分析[J]. 中华介入放射学电子杂志, 2020, 08(02): 151-154.
[10] 陈志鹏, 张铁凝, 高雷, 曹胜军, 李全. 血栓弹力图在早期烧伤后凝血功能障碍诊断的应用研究[J]. 中华卫生应急电子杂志, 2022, 08(05): 257-261.
[11] 苏丽东, 张铁凝, 曹胜军, 李全. 静吸复合麻醉对特重度烧伤患者凝血功能障碍的影响[J]. 中华卫生应急电子杂志, 2022, 08(01): 14-17.
[12] 陈汀劳, 骆慧莎, 赵珍喜, 徐美玲, 吴敬伦. 急性创伤性出血患者早期应用氨甲环酸对凝血功能的影响[J]. 中华卫生应急电子杂志, 2021, 07(02): 74-78.
[13] 吴杨, 易石坚, 李兰兰, 梁乾坤, 吴松燕, 肖月. 新西兰兔创伤性凝血功能障碍模型的建立及评价[J]. 中华卫生应急电子杂志, 2021, 07(01): 8-12.
[14] 吴杨, 易石坚, 李兰兰, 梁乾坤, 吴松燕, 肖月. 复方氨基酸联用大剂量维生素B6治疗家兔创伤性凝血功能障碍的作用[J]. 中华卫生应急电子杂志, 2020, 06(05): 288-292.
[15] 朋云峰, 任慧娟, 杨倩, 孙宏, 刘显东, 包晓玮, 张磊, 唐伦先. AECOPD患者血栓弹力图与凝血功能、炎症及血气指标的相关性分析[J]. 中华卫生应急电子杂志, 2019, 05(05): 267-272.
阅读次数
全文


摘要