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目的：探讨ＣＴ检查对颅脑火器伤的诊断及治疗价值。方法；１６例颅脑火器伤患者，分别被汽枪、砂枪、手枪及自制火器击伤，其中１３例于伤后１２ｈ内行ＣＴ检查，５例增强扫描，３例行ＭＰＲ及３Ｄ重建，７例行手术治疗。结果：头皮软组织伤３例，颅脑非穿透伤２例，颅脑穿透伤１１例。结论：ＣＴ能清楚显示颅脑火器伤的损伤部位、范围大小及程度，显示伤道、异物及颅骨碎片，为临床诊断、治疗及观察治疗效果提供可靠依据。
Objective: To investigate the diagnosis and treatment of craniocerebral firearm injuries by CT. Methods Sixteen patients with craniocerebral firearm injuries were injured by steam guns, sand guns, pistols and self-made firearms. Thirteen patients underwent CT scan within 12 hours after injury, five patients underwent enhanced scan, three underwent MPR and 3D reconstruction, and 7 Routine surgical treatment. Results: 3 cases of scalp soft tissue injury, 2 cases of craniocerebral non-penetrating injury and 11 cases of craniocerebral penetrating injury. Conclusion: CT can clearly show the location, extent and extent of injury of craniocerebral firearm wounds, and show the pathological features of the wounds, foreign bodies and skull fragments, and provide a reliable basis for clinical diagnosis, treatment and observation of the therapeutic effect.