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本文总结分析了高原地区（海拔３６５８ｍ）平时火器伤的治疗特点。西藏高原因交通不便，伤员受伤后要较长时间才能入院治疗，但由于西藏特定的地理、气候环境，对细菌生长繁殖不利，为一期清创缝合伤口创造了有利条件。凡伤后２４小时内进行正规的彻底清创同时闭合伤口，对伤口意合无影响；对合并骨折者，大部分可进行一期内固定。只要清创彻底，内固定简单可靠，伤口都能一期愈合。
This paper summarizes the treatment characteristics of the usual firearm injuries in the plateau area (3658m above sea level). Due to traffic inconvenience in the Tibetan plateau, it takes a long time for the wounded to get admitted to hospital for treatment. However, due to the special geographical and climatic conditions in Tibet, it is unfavorable to the growth and development of bacteria and creates favorable conditions for a debridement and suture wound. All within 24 hours after injury to conduct a thorough thorough debridement at the same time the closure of the wound, the wound meaning no effect; for those with a fracture, most of them can be an internal fixation. As long as debridement thorough, internal fixation is simple and reliable, the wound can be a healing.