近25年来，我们收治了火器性四肢骨折320例，现就其武器与伤情关系、创伤弹道特点及救治原则作如下分析。临床资料本组均为开放性骨折，男性38例，占99．3％；女性2例，占0．6％；成人317例，占99．1％，儿童3例，占0．9％。伤因中，炮弹伤208例，枪伤64例，地雷伤38例，手榴弹 In the past 25 years, we have treated 320 cases of firearm limb fractures. We will analyze the relationship between the weapon and the injury, the characteristics of the trauma and the treatment principles. Clinical data of this group are open fractures, 38 cases of men, accounting for 99.3%; 2 females, accounting for 0.6%; 317 cases of adult, accounting for 99.1%, 3 children, accounting for 0.9%. Of the injuries, 208 were shell wounds, 64 were gunshot wounds, 38 were land-mine wounds and grenades