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Civilian gunshot wounds to the head:a case report,clinical management,and literature review

Chinese Neurosurgical Journal 2021年第3期7卷 216-224页

作者： Haoyi Qi Kunzheng Li Qinghai University No.251 Ningda RoadXining 810016Qinghai ProvinceChina The Affiliated Hospital of Qinghai University No.29 Tongren RoadXining 810000Qinghai ProvinceChina

Background:Civilian gunshot wounds to the head refer to brain injury caused by projectiles such as gun projectiles and various fragments generated by explosives in a power launch or *** wounds to the head are the deadliest of all gun *** to literature statistics,the survival rate of patients with gunshot wounds to the head is only 9%.Due to the strict management of various types of firearms,they rarely occur,so the injury mechanism,injury and trauma analysis,clinical management,and surgical standards are almost entirely based on military experience,and there are few related reports,especially of the head,in which an individual suffered a fatal blow more than once in a short *** report a case with a return to almost complete recovery despite the patient suffering two gunshot injuries to the head in a short period of *** presentations:We present a case of a 53-year-old man who suffered two gunshot injuries to the head under unknown *** initial presentation,the patient had a Glasgow Coma Scale score of 6,was unable to communicate,and had loss of *** first bullet penetrated the right frontal area and finally reached the right occipital *** the patient reflexively shielded his head with his hand,the second bullet passed through the patient’s right palm bone,entered the right frontotemporal area,and came to rest deep in the lateral *** patient had a cerebral hernia when he was admitted to the hospital and immediately entered the operating room for rescue after a computed tomography *** two foreign body removals and skull repair,the patient recovered ***:gunshot wounds to the head have a high mortality rate and usually require aggressive *** of most gunshot injuries requires extremely fast imaging examination upon arrival at the hospital,followed by proactive treatment against infection,seizure,and increased intracranial *** intervention

关键词： gunshot wound Head trauma Penetrating brain injury Traumatic brain injury

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Masquelet technique in military practice:specificities and future directions for combat-related bone defect reconstruction

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Military Medical Research 2023年第3期10卷 369-382页

作者： Laurent Mathieu Romain Mourtialon Marjorie Durand Arnaud de Rousiers Nicolas de l’Escalopier Jean‑Marc Collombet Department of Orthopedic Trauma and Reconstructive SurgeryPercy Military Hospital101 avenue Henri Barbusse92140 ClamartFrance Department of Surgery Ecole du Val‑de‑GrâceFrench Military Health Service Academy1place Alphonse Laveran75005 ParisFrance Military Biomedical Research Institute(IRBA) 1 place Général Valérie André91220 Brétigny‑sur‑OrgeFrance

Because of its simplicity,reliability,and replicability,the Masquelet induced membrane technique(IMT)has become one of the preferred methods for critical bone defect reconstruction in *** it is now used worldwide,few studies have been published about IMT in military *** reconstruction is particularly challenging in this context of care due to extensive soft-tissue injury,early wound infection,and even delayed management in austere *** on our clinical expertise,recent research,and a literature analysis,this narrative review provides an overview of the IMT application to combat-related bone *** presents technical specificities and future developments aiming to optimize IMT outcomes,including for the management of massive multi-tissue defects or bone reconstruction performed in the field with limited resources.

关键词： Bone defect Induced membrane technique gunshot wound Low resources Masquelet technique Military War surgery

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Evaluation of follow-up and long-term outcomes of gunshot and stab wounds in a French civilian population

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Chinese Journal of Traumatology 2022年第4期25卷 201-208页

作者： Julie Fournier Laure Salou-Regis Ghislain Pauleau Geraldine Goin Bruno de La Villeon Yvain Goudard Emergency Department Laveran Military HospitalBoulevard Laveran13013MarseilleFrance Visceral and Digestive Surgery Unit Laveran Military HospitalBoulevard Laveran13013MarseilleFrance

Purpose The data concerning long-term follow-up and outcomes of penetrating trauma are poorly detailed in the *** main objective of our study was to analyze the hospital and extra-hospital follow-up of penetrating trauma victims and to evaluate the late complications and long-term consequences of these *** This work was a retrospective longitudinal monocentric observational study conducted at Laveran Military Hospital,from January 2007 to January *** patients hospitalized for gunshot wound or stab wound management during this period were identified via a retrospective systematic query in the hospital information system using the ICD-10 *** data,traumatism characteristics,hospital management,follow-up and traumatism consequences(i.e.,persistent disability)were *** improve evaluation of traumatism long-term consequences,extra-hospital follow-up data from general physicians(GP)were collected by phone *** this interview,9 closed questions were asked to the *** survey evaluated:the date of the last consultation related to injury with the GP,the specific follow-up carried out by the GP,traumatism consequences,and recurrence of ***,univariate and multivariate with regression analysis were used for statistical *** A total number of 165 patients were ***(Q1,Q3)of hospital follow-up was 28(4,66)*** hundred one patients(61.2%)went to their one-month consultation at *** follow-up was achieved for 76 patients(55.2%).Median(Q1,Q3)of GP follow-up was 47(21,75)***-four patients(14.5%)have been totally lost to follow *** overall follow-up identified 54 patients(32.7%)with long-term consequences,20 being psychiatric disorders and 30 organic *** consequences were mainly peripheral nerve damages(n=20;12.1%).Most of the psychiatric consequences were diagnosed during GP follow-up(n=14;70%).Seventeen cases(10.3%)of recurrence were found and la

关键词： Stab wound gunshot wound Injury Consequences Follow-up Outcomes

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Pellet Embolization after Subclavian Artery Injury:A Case Report

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Surgical Science 2017年第10期8卷 444-450页

作者： Raminta Cerneviciute Shaheel M.Sahebally Ahmad Mourad Donatas Inciura Aleksandras Antusevas Faculty of Medicine Lithuanian University of Health SciencesKaunasLithuania Department of Surgery University College Hospital GalwayGalwayIreland Department of Cardiac Thoracic and Vascular SurgeryLithuanian University of Health SciencesHospital of Lithuanian University of Health Sciences Kaunas ClinicsKaunasLithuania

Acute upper limb ischemia caused by a gunshot penetrating vascular injury and subsequent arterial embolization by foreign body is uncommon in everyday practice and is associated with high morbidity/mortality rates, especially with emergency surgery. We present the case of a 72-year old male who attempted suicide using a gun. A gunshot entry wound was evident in the right upper chest region with no pellet exit wound. Radial pulses were palpable bilaterally. Angiography revealed right subclavian artery direct injury and pellet embolization to the brachial artery. The patient underwent open surgery, with reversed saphenous vein interposition graft to replace subclavian artery defect. A pellet was removed by a separate arteriotomy in the brachial artery. Associated injuries were clavicle-comminuted fracture and subclavian vein injury. The patient remained well 5 months later with no reported complications. In conclusions, the presence of radial pulses alone on clinical exam cannot rule out the presence of a significant vascular injury.

关键词： gunshot wound Pellet Embolization Arterial Trauma Upper Extremity Case Report

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Adrenal gland injury due to gunshot

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Chinese Journal of Traumatology 2020年第3期23卷 149-151页

作者： Vivek Angara Jody C.Digiacomo Department of Surgery Nassau University Medical CenterEast MeadowNY11554USA

Adrenal gland trauma is a rare phenomenon, due to the small size and retroperitoneal location of the organ. The majority of adrenal gland trauma is due to blunt force injury and is only rarely encountered due to the penetrating mechanisms. A 20-year-old male sustained a gunshot wound to the left abdomen. Upon exploration, he was found to have a through and through injury to the left adrenal gland, among other injuries. Injury to the adrenal gland due to penetrating trauma is exceptionally rare. The principles of management are to control bleeding from the gland with debridement and hemostasis rather than attempt to resect the entire organ. The management of a penetrating injury to the adrenal gland is straightforward and should not be a contributor to a patient’s morbidity or mortality.

关键词： Adrenal injury gunshot wound Penetrating trauma

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