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

doi:10.3877/cma.j.issn.2095-9141.2021.01.006

Abstract

Abstract:

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 920^th 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.

Key words: Traumatic brain injury, Firearm wounds, Emergency treatment, Surgical procedures

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.

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Figures/Tables 1

References 15

[1]	Miller GF, Kegler SR, Stone DM. Traumatic brain injury-related deaths from firearm suicide: United States, 2008-2017[J]. Am J Public Health, 2020, 110(6): 897-899.
[2]	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.
[3]	Naghavi M, Marczak LB, Kutz M, et al. Global mortality from firearms, 1990-2016[J]. JAMA, 2018, 320(8): 792-814.
[4]	王正国.颅脑战创伤研究[J].中华神经外科疾病研究杂志, 2002, 1(2): 97-99.
[5]	封亚平，柏秀松，刘艳生,等.颅脑火器伤167例分析[J].创伤外科杂志, 2003, 5(6): 413-415.
[6]	Young M, Putty M, Finneran MM, et al. Multidisciplinary management of low-velocity nonmissile penetrating head injuries[J]. Cureus, 2020, 12(3): e7388.
[7]	Joseph B, Aziz H, Pandit V, et al. Improving survival rates after civilian gunshot wounds to the brain[J]. J Am Coll Surg, 2014, 218(1): 58-65.
[8]	Rosenfeld JV, Bell RS, Armonda R. Current concepts in penetrating and blast injury to the central nervous system[J]. World J Surg, 2015, 39(6): 1352-1362.
[9]	Potapov AA, Krylov VV, Gavrilov AG, et al. Guidelines for the diagnosis and treatment of severe traumatic brain injury. Part 2. Intensive care and neuromonitoring[J]. Zh Vopr Neirokhir Im N N Burdenko, 2016, 80(1): 98-106.
[10]	侯立军，江基尧，卢亦成,等.平时颅脑火器伤108例预后分析[J].中华创伤杂志, 2002, 18(5): 274-276.
[11]	Gressot LV, Chamoun RB, Patel AJ, et al. Predictors of outcome in civilians with gunshot wounds to the head upon presentation[J]. J Neurosurg, 2014, 121(3): 645-652.
[12]	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.
[13]	Bertani R, Perret CM, Alberto Almeida Filho J, et al. Neuronavigation as a minimally invasive tool in the treatment of intracranial gunshot injuries[J]. Int J Burns Trauma, 2019, 9(1): 19-22.
[14]	Lee SW, Gajavelli S, Spurlock MS, et al. Microglial inflammasome activation in penetrating ballistic-like brain injury[J]. J Neurotrauma, 2018, 35(14): 1681-1693.
[15]	Lin DJ, Lam FC, Siracuse JJ, et al. "Time is brain" the gifford factor - or: why do some civilian gunshot wounds to the head do unexpectedly well? A case series with outcomes analysis and a management guide[J]. Surg Neurol Int, 2012, 3: 98.

GCS评分	例数	死亡	植物生存	重残	中残	良好
3~5分	43	28	12	3	0	0
6~8分	91	3	2	25	22	39
9~12分	84	1	0	2	26	55
13~15分	17	0	0	0	3	14

GCS评分	例数	死亡	植物生存	重残	中残	良好
3~5分	43	28	12	3	0	0
6~8分	91	3	2	25	22	39
9~12分	84	1	0	2	26	55
13~15分	17	0	0	0	3	14

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