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首页> 外文期刊>Craniomaxillofacial Trauma & Reconstruction >A 14-Year Review of Craniomaxillofacial Gunshot Wounds in a Resource-Limited Setting
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A 14-Year Review of Craniomaxillofacial Gunshot Wounds in a Resource-Limited Setting

机译：在资源有限的环境中进行的颅颌面部枪伤的14年回顾

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摘要

This study analyzed the prevalence, clinical characteristics, and management of civilian-type craniomaxillofacial gunshot wounds (CGSWs) seen over a 14-year period in a Northern Nigerian teaching hospital. A retrospective study of all hospital records relating to CGSWs from January 2000 to December 2013 was conducted to determine the prevalence of CGSWs. Information retrieved included site of injury, type of projectile, management protocol, as well as duration of hospitalization. A total of 46 admissions for CGSWs were recorded during the period under review from a total of 2,228 maxillofacial admissions. This gave a prevalence of 2.1% for CGSWs (95% confidence interval = 1.56–2.81). Sex distribution was 14.31 (MF) with overall mean age of 32.9 ± 8.4 years. Average length of hospitalization was 17.7 (±15.56) days. Management of CGSWs consisted of emergency care, preliminary intervention, definitive reconstruction, revisions, and rehabilitation. Conclusively, analysis of the yearly incidence of CGSWs showed that the incidence and severity increased within the past 2 years under review (18 cases, 39.13%; χ 2 trend = 7.7, p = 0.006). This period was noted to correspond with heightened violence within the region mostly due to the acts of unknown gunmen and insurgents.
机译：这项研究分析了在尼日利亚北部的一家教学医院14年间所见的平民型颅颌面部枪击伤（CGSW）的患病率，临床特征和处理方法。对2000年1月至2013年12月与CGSW相关的所有医院记录进行了回顾性研究，以确定CGSW的患病率。检索到的信息包括受伤部位，弹丸类型，管理方案以及住院时间。在本报告所述期间，总共记录了46例CGSW入院，其中共计2228例颌面部入院。 CGSW的患病率为2.1％（95％置信区间= 1.56-2.81）。性别分布为14.31（MF），总平均年龄为32.9±8.4岁。平均住院时间为17.7（±15.56）天。 CGSW的管理包括紧急护理，初步干预，最终的重建，修订和康复。结论是，对CGSWs的年发生率的分析表明，在过去的两年中，CGSW的发生率和严重性有所增加（18例，39.13％;χ2趋势== 7.7，p = 0.006）。据指出，这一时期与该地区暴力加剧有关，主要是由于不明枪手和叛乱分子的行为。

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