颌骨骨折合并颅脑损伤的早期救治  

EARLY TREATMENT FOR THE FRACTURE OF MAXILLOFACIAL BONE COMBINED WITH CEREBRAL INJURY

作　　者：闫颖[1] 张建强[1] 刘斌[1] 张皖清[1] 刘军[1] 孙鹏[1] 程尉新[1] 贾密[1] 

机构地区：[1]解放军第304医院,北京100037

出　　处：《解放军医学杂志》2001年第8期608-610,共3页Medical Journal of Chinese People's Liberation Army

摘　　要：为探讨颌骨骨折合并颅脑损伤患者的早期修复问题 ,选择 12 0例颌骨骨折合并颅脑损伤患者进行回顾性研究 ,观察不同时期进行颌骨骨折复位固定手术的患者术后一周内GCS评分的变化及应激性溃疡、获得性肺部感染及肝肾功能损伤的发生情况。结果显示在不同时期进行颌骨骨折复位固定术 ,对于合并颅脑损伤患者的影响及其并发症发生率无显著性差异 (P >0 .0 5 )。提示颌骨骨折合并颅脑损伤患者的救治应以抢救生命为主 ,早期进行颌骨骨折复位固定术是可行的 ;微型钛钢板坚固内固定术是一种较为理想的固定技术。To assess early treatment for fracture of the maxillofacial bone complicated by cerebral injury, 120 patients were retrospectively reviewed. The change in GCS, the incidence of stress ulceration, nosocomial pneumonia and the injury of liver or kidney were determined 1 week after fixation of the fracture of the maxillofacial bone at different stages. There was no significant influence of the time of the operation on the severity of brain injury and the incidence of the complications. It is our assertion that the bone fracture could be fixed at an earlier stage, and RIMF is a kind of satisfactory fixation method.

关 键 词：颌骨折 颅脑损伤 综合疗法 

分 类 号：R782.4[医药卫生—口腔医学]