总结４例４小时以内霰弹伤的治疗经验，认为霰弹与子弹虽然伤道原理一致，但因其速度慢、能量小，故原发伤道及侧冲力所造成的伤道组织损伤小，因此，可在清创的基础上，进行开放骨折内固定和Ⅰ期缝合伤口，而获早期治愈。 Summarize the treatment experience of 4 cases of shotgun within 4 hours, think the shotgun and bullet have the same wound principle, but because of their slow speed and small energy, so the primary injury and lateral impact damage caused by tissue injury is small, On the basis of debridement, open fracture internal fixation and stage Ⅰ suture wounds, and early cure.