Self‐inflicted Gunshot Wounds to the FaceA Review of 18 Cases
作者:
LINDA SHUCK,
MICHAEL ORGEL,
ALBERT VOGEL,
期刊:
The Journal of Trauma: Injury, Infection, and Critical Care
(OVID Available online 1980)
卷期:
Volume 20,
issue 5
页码: 370-377
ISSN:0022-5282
年代: 1980
出版商: OVID
数据来源: OVID
摘要:
&NA;A 9‐year experience at the University of New Mexico affiliated hospitals involving 18 patients with self‐inflicted gunshot wounds to the face is reviewed. Almost all were young males, averaging 27.9 years of age. Fourteen patients were Native American, six from the same pueblo. Four shootings were ‘accidental’ and the rest suicidal. Sixteen patients were intoxicated at the time of injury.Interpersonal conflict with an important female and acculturation difficulties were thought to play major roles. Rifles were most commonly used, and injuries tended to be severe. High muzzle velocity (≥2,000 ft/sec), high muzzle energy (≥2,000 ft‐lbs) weapons tended to be the most injurious, and low muzzle energy (≤1,000 ft‐lbs) guns were related to a lesser extent of injury regardless of muzzle velocity. Patient compliance during reconstruction has been excellent, and functional return to society with gainful employment and a stable marriage has been the rule. Subsequent suicide attempts have been uncommon.
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