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021 Journal of Nara Medical Association >
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http://hdl.handle.net/10564/546
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| Title: | 38口径低速弾による銃創の1例 |
| Other Titles: | A CASE OF GUNSHOT WOUND BY 0.38 INCH LOW-VELOCITY BULLET |
| Authors: | 小延, 俊文 川西, 弘一 畑, 倫明 稲田, 有史 今西, 正巳 村尾, 佳則 宮本, 誠司 上嶋, 昌和 植村, 天受 平尾, 佳彦 |
| Keywords: | penetratlng injury gunshot wound low-velocity bullet |
| Issue Date: | 31-Oct-1999 |
| Publisher: | 奈良医学会 |
| Citation: | Journal of Nara Medical Association Vol.50 No.5 p.442-446 |
| Abstract: | A case of gunshot wound by 0.38 inch low-velocity bullet is reported. A 41
-year-old man was admitted to our hospital due to gunshot wounds. Three open wounds
were recognized in the hip, right femoral region, and right lower leg on arrival. Also
subcutaneous hematoma was found in the right femoral region. X-ray films on admission
revealed a bullet in the right femoral region and injury of the femur bone. Pelvic CT scan
revealed hematoma in the bladder and bullet fragments; however, no more associated
injury was detected. Then, we diagnosed as non-penetrating wound through pelvic cavity
and penetrating wound, entered from femoral region through lower leg. We removed the
bullet and made debridement. The patient was discharged from our hospital on the 12th
postoperative day and his postoperative course was uneventful. Since the bullet in this case
was a 0.38 inch low-velocity bullet, it seemed that the degree of injury was not severe.
Gunshot wound victims have been rarely seen in Japan, however, the system such as
Advanced Trauma Life Support (ALTS) in the U.S.A should be established in Japan.
Emergency physicians should know ballistics and gunshot wound management. |
| URI: | http://hdl.handle.net/10564/546 |
| ISSN: | 13450069 |
| Appears in Collections: | 021 Journal of Nara Medical Association
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| 442-446p.38口径低速弾による銃創の1例.pdf | | 2126Kb | Adobe PDF | View/Open |
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