以往仅有采用腹腔镜和乙状结肠镜治疗腹部枪弹伤的报告。本文报告采用内窥镜冲洗技术治疗1例皮下枪弹伤。伤员为万岁，男性，上臂被枪弹击中，X光检查发现弹头停留在胸堆旁。内窥镜由伤口插入并冲洗，冲洗后内窥镜的影像非常清晰。沿弹头伤道走向推进内窥镜，做二个小切口后， In the past only laparoscopic and sigmoidoscopy for the treatment of abdominal bullet wounds report. This article reports the use of endoscopic irrigation technique to treat one case of subcutaneous gunshot wounds. Long live the wounded, male, upper arm was hit by bullets, X-ray showed warhead stuck in the chest next to the heap. The endoscope is inserted and rinsed by the wound, and the image of the endoscope after rinsing is very clear. Follow the warhead injury to promote the endoscope, do two small incision,