An Analysis on the Remote Effects in 68 Wounded Soldiers with Firearm Injury / 中华创伤杂志

ABSTRACT

Through the observations on autopsy, surgical operation and clinical symptoms the indirect injuries around wound channel were confirmed in 68 wounded soldiers. They were hit by bullets (28 cases) or shell fragments (40 cases), respectively, The hitting reigions included the head-face, neck, thorax, abdomen, lumbus-dorsal, glutaeus and lower extremity. The patterns of indirect injury away from wound channel were reported in this paper.52 cases with indirect injury were cured because of early and exact diagnosis and timely medical treatment. 16 cases died within several minutes and 63 days after injury, in which 10 cases (14.7%) mainly died of severe indirect injury (rupture of liver. spleen or aneurysm, and cerebral contusion). The authors emphasized that damage of organs adjacent to the wound cavity should not be ignored in treating the cases induced by high velocity missiles.