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探讨平时四肢火器伤初期外科处理方法的应用和改进。方法 :74例平时四肢火器伤患者按照传统法 (彻底清创切除伤道失活组织 )和改良法 (单纯切开引流 )分别进行初期外科处理 ,观察伤口感染和愈合情况。结果 :两种方法伤口感染无统计学差别 ,伤口愈合时间改良法短于传统法 ,且有统计学意义。结论 :改良法较传统法更为安全 ,简单 ,有效 ,具有广泛的适应证 ,值得推广。
To discuss the application and improvement of the initial surgical treatment of the firearm injuries in the normal limbs. Methods: Totally 74 cases of firearm wounds with normal limbs were treated by conventional method (complete debridement and excision of wound deactivation tissue) and modified method (simple incision and drainage), respectively. Initial wound healing and wound healing were observed. Results: There was no significant difference between the two methods in wound infection, wound healing time improvement method was shorter than the traditional method, and there was statistical significance. Conclusion: The modified method is safer, simpler and more effective than the traditional one. It has a wide range of indications and is worth promoting.