枪弹伤常并发全身多发性伤或腹内多脏器损伤 ,故伤情常复杂而严重 ,现将我院近 10年 16例枪击所致的腹部开放性损伤的救治情况报告如下。1　临床资料本组 16例 ,男 14例 ,女 2例 ,年龄 17～ 56岁。受伤距入院时间 4～ 2 1小时 ,有典型腹膜炎症状和体征14例 ,占 87.5% ,有休克表 Gunshot wounds often complicated by multiple multiple injuries or intra-abdominal multiple organ injury, so the injury is often complicated and serious, now our hospital nearly 10 years of gunshot wounds caused by abdominal open injury reported as follows. 1 Clinical data The group of 16 patients, 14 males and 2 females, aged 17 to 56 years. Injury from admission 4 ~ 21 hours, there are 14 cases of typical symptoms and signs of peritonitis, accounting for 87.5%, with shock table