平时颌面火器伤301例特点及救治体会  

Characteristics and management of 301 cases of civilian firearm injuries in maxillofacial region

作　　者：雷德林[1] 周树夏[1] 

机构地区：[1]西安第四军医大学口腔医学院颌面外科,710032

出　　处：《实用口腔医学杂志》2001年第3期220-222,共3页Journal of Practical Stomatology

摘　　要：目的 :探讨平时颌面火器伤的特点和救治经验 ,以期提高临床救治水平。方法 :回顾分析 30 1例颌面火器伤的伤因、伤情和救治 ,分析总结伤情特点及救治原则。结果 :伤员中男女比例为 5 .1∶ 1。 30 1例火器伤中 ,枪弹伤占 5 7%。伤情以多发伤为主 ,占 6 6 %。合并伤以颅脑伤最常见 (16 % )。所有伤员中 ,共有伤道 90 0余处 ,多为盲管伤 (72 % ) ,发生异物存留者占 6 7%。复合伤主要为烧伤和冲击伤。多见于爆炸伤。救治措施主要为维持生命、早期清创和抗感染。结论 :颌面部火器伤因致伤物、致伤方式和解剖因素而复杂多变 ,救治时应综合考虑 ,对症治疗。?Objective: To view the characteristics and the primary treatment of civilian firearm wound in the maxillofacial region.Methods: 301 cases of the casualties admitted to our hospital were retrospectively investigated,the epidemic, etiology, wound characteristics, and treatments of the patients were viewed respectively. Results: Of all the cases, the ratio of male to female was 5.1∶1.0. 57% of the injuries were caused by gunshot, 66% were with multiple injuries.16% combination wound were craniocerebral injuries. In this group of patients, more than 900 wound tracks were found, 72% of the tracks were nonpenetrating and 67% of those were with foreign bodies lodged in. Burns with blast injuries were the main complex wounds, which mostly occurred in explosion. The treatments mainly included life maintaining, earlier debridement and infection control. Conclusions: The maxillofacial firearm injuries are complex and have their own characteristics depending on the firearms, the wound styles and the regional anatomy. All the factors must be considered when treatment is given.

关 键 词：颌面部火器伤 枪弹伤 治疗 

分 类 号：R782.4[医药卫生—口腔医学]