Penetrating craniocerebral missile injuries in civilians: a retrospective analysis of 314 cases.

摘要: Abstract Analysis of 314 cases penetrating craniocerebral missile injuries in civilians revealed a high rate early mortality, with 228 victims having died at the scene and further 38 dead within 3 hours. Surgery was performed 44 patients who had preoperative Glasgow Coma Score least 4. Out 26 survivors, all operated upon, 19 an adequate recovery (score 0–3 on expanded Outcome Scale). Vigorous resuscitation surgery often resulted useful survivals occasionally spectacular recoveries. However, mortality or soon after injury restricted possibility effective management to minority cases.