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火器性颅脑损伤属于头部创伤中的常见类型，在战争及和平时期均较多见．作者回顾性分析西京医院１９７３年至１９９４年期间收治６４８７例的中、重型头部外伤伤员（格拉斯哥昏迷计分３～１２分）中，５６例为火器性颅脑穿透伤．男４９例（８７．５％），女７例（１２．５％），年龄平均２３．８（３月～５１）岁．火器伤类型包括：切线伤３例；盲管伤３９例；贯通伤１４例．损伤的特点是，伤情急、创伤重、病情变化快．经急救和手术处理，６例死亡（１０．７％）．于３个月时随访研究表明，３６例（４６．４％）恢复良好；轻残、重残及植物生存率分别为２８．６％，１４．３％和２％．长期随访研究结果，３５例恢复满意，其中２８例恢复工作能力．文中讨论了对本类损伤的救治原则和手术处理要点．
Firearm craniocerebral injury is a common type of head trauma and is more common in war and peacetime. The authors retrospectively analyzed 647 cases of medium and heavy head trauma casualties (Glasgow Coma Scale 3 to 12 points) admitted to Xijing Hospital from 1973 to 1994, 56 of which were firearm craniocerebral penetrating injuries. There were 49 males (87.5%) and 7 females (12.5%), with an average age of 23.8 (March ~ 51) years. The types of firearm injuries include: 3 cases of tangential wound; 39 cases of blind pipe injury; 14 cases of penetrating injury. Injury is characterized by acute wounds, traumatic injuries, rapid changes in condition. After first aid and surgery, 6 patients died (10.7%). At 3 months follow-up study showed that 36 cases (46.4%) recovered well; light, severe disability and plant survival rates were 28.6%, 14.3% and 2% respectively. Long-term follow-up study results, 35 patients were satisfied, of which 28 patients with ability to resume work. This article discusses the treatment of this type of injury principles and surgical treatment points.