TY  - JOUR
PY  - 1996//
TI  - Transaxial gunshot injuries
JO  - Journal of trauma
A1  - Hirshberg, A.
A1  - Or, J.
A1  - Stein, M.
A1  - Walden, R.
SP  - 460
EP  - 461
VL  - 41
IS  - 3
N2  - OBJECTIVE: To define the clinical characteristics of gunshot injuries across the truncal midline (transaxial injuries). DESIGN: A retrospective case-control study MATERIALS AND METHODS: Analysis of a consecutive series of 223 patients with gunshot injuries to the torso treated at one trauma center. Sixty-three patients with transaxial injuries were compared to 148 patients with unilateral bullet trajectories. MAIN RESULTS: The incidence of cardiac (8%), vascular (17%), and spinal (29%) injuries and the mortality rate (29%) were significantly higher among the 63 patients with transaxial injuries compared with 148 patients with unilateral injuries. Initial operative access to the wrong visceral cavity (10%), missed injuries (14%), and early reoperations (19%) were also more common in the transaxial group. CONCLUSIONS: A transaxial bullet trajectory identifies a distinct injury pattern associated with a high incidence of major visceral damage, intraoperative misadventures, and very high mortality.<p /> <p>Language: en</p>
LA  - en
SN  - 0022-5282
UR  - http://dx.doi.org/
ID  - ref1
ER  -