ABSTRACT

Aim

Nail guns are important time saving devices but are associated with morbidity and mortality. Specifically, craniocerebral injuries have been reported in the literature since 1963 and have increased in frequency as the use of these tools has become commonplace. There remains a paucity of literature comprehensively assessing nail gun injuries, as compared with other penetrating craniocerebral injuries like those from firearms.

Method

A literature review of PubMed, Medline (Ovid), Cochrane library, and Google Scholar for articles published between 1960 and 2018 reporting craniocerebral nail gun injuries.

Results

In total, 96 individual cases were identified, with 80 meeting inclusion criteria. These were categorized as accidental and intentional injuries. The demographic was overwhelmingly young males (97.5%), and intentional self-inflicted injuries (54%) was the most frequent mechanism of injury. Overall mortality was 10%. Mortality was more common in patients with intentional injuries, but morbidity rates were similar between the accidental and intentional injury cohorts. Post-operative complications rate was 23.8%.

Conclusion

Craniocerebral nail gun injuries are associated with lower rates of both mortality and residual neurological deficits than craniocerebral firearms injuries. There is limited data to inform clinical prognostication about long-term neurological impairments and the time to recovery which should be addressed in future studies.

中文翻译：

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颅脑钉枪伤：文献综述

摘要

目的

钉枪是重要的节省时间的设备，但与发病率和死亡率有关。具体而言，自 1963 年以来，文献报道了颅脑损伤，并且随着这些工具的使用变得司空见惯，颅脑损伤的频率有所增加。与枪械等其他穿透性颅脑损伤相比，仍然缺乏全面评估钉枪损伤的文献。

方法

对 PubMed、Medline (Ovid)、Cochrane 图书馆和 Google Scholar 的文献综述，其中包括 1960 年至 2018 年间发表的报告颅脑钉枪损伤的文章。

结果

总共确定了 96 个个体病例，其中 80 个符合纳入标准。这些被归类为意外伤害和故意伤害。人口绝大多数是年轻男性 (97.5%)，故意自伤 (54%) 是最常见的伤害机制。总死亡率为10%。故意伤害患者的死亡率更常见，但意外伤害和故意伤害队列的发病率相似。术后并发症发生率为23.8%。

结论

与颅脑枪伤相比，颅脑钉枪伤与较低的死亡率和残余神经功能缺损率相关。关于长期神经损伤和恢复时间的临床预后数据有限，这应该在未来的研究中解决。