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] 张皖清[1] 刘军[1] 孙鹏[1] 刘斌[1] 贾密[1] 王晓玫[1] 张立立[1] 程尉新[1] 

机构地区：[1]解放军第304医院口腔科,北京100037

出　　处：《感染．炎症．修复》2001年第1期46-48,共3页Infection Inflammation Repair

摘　　要：目的:探讨颌骨骨折合并颅脑损伤患者颌骨骨折早期修复问题。方法:选择120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,以及应激性溃疡、获得性肺部感染、肝肾功能损伤的发生情况。结果:在不同时期进行颌骨骨折复位固定术对于颅脑损伤的影响无显著性差异(P>0.05),患者并发症发生率无显著性差异(P>0.05)。结论: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。Objective:To explore early treatment for the fracture of maxillofacial bone combined with cerebral injury. Methods:A retrospective review was made in 120 patients with maxillofacial bone fracture combined with cerebral injury. We observed the change in GCS, the incidence of stress ulceration, nosocomial pneumonia and the damage of liver or kidney within one week after fixation of fracture of maxillofacial bone in different stages. Results : Fixation of jaw fracture in different stage of brain stage did not increase the severity of brain injury or the incidence of complications. Conclusion: The bone fracture could he fixed at early stage, RIMF is a kind of satisfactory fixation method.

关 键 词：颌面外伤 颅脑损伤 治疗 

分 类 号：R782[医药卫生—口腔医学]