颅脑火器伤(cranio‐brainfirearmwound)的发生率约10%~17%,死亡率约为30%~40%,伤残率约40%。颅脑火器伤分非穿透伤和穿透伤。非穿透伤仅伤及头皮和颅骨(洞穿骨折或粉碎性骨折),硬脑膜保持完整,因而颅内感染的机会较少(图120‐。穿透伤为穿过头皮、颅骨和硬脑膜的损伤,根据其伤道情况又可将其分为盲管伤(blindwound)、贯通伤(penetratingwound)、切线伤(tan‐gentialwound)和反跳伤(ricochetwound)(图120‐。穿透伤的伤道内 ......