严重口腔颌面部骨折的急救与麻醉处理  

Emergency Treatment and Anesthesia for Severe Oral and Maxillofacial Fracture

作　　者：杨前进 YANG Qianjin(Zouping Central Hospital Department of Stomatology,Zouping 256200,China)

机构地区：[1]邹平市中心医院口腔科,山东邹平256200

出　　处：《中华灾害救援医学》2024年第5期577-580,共4页Chinese Journal of Disaster Medicine

摘　　要：目的观察分析严重口腔颌面部骨折患者的急救和麻醉处理方法。方法纳入我院在2021年6月至2023年6月收治的89例严重口腔颌面部骨折患者,开展急救术与麻醉处理,观察患者救治效果。结果89例患者4例治疗无效,治疗总有效率为95.51%;发生于不同位置的骨折治疗总有效率差异无统计学意义,P>0.05;急救后患者的舒张压和收缩压平均值明显增加,差异有统计学意义(P<0.05);术后有2例患者出现口腔颌面部出血,1例患者术后有出血窒息情况,经重新止血后情况稳定。结论基于患者临床症状与病情差异,实施更具有针对性的救治和麻醉措施,可促进患者救治率的提升。Objective To observe and analyze the emergency treatment and anesthesia methods of patients with severe oral and maxillofacial fractures.Methods 89 patients with severe oral and maxillofacial fractures admitted to our hospital from June 2021 to June 2023 were included,and the emergency surgery and anesthesia were carried out to observe the therapeutic effect of the patients.Results Among the 89 patients,4 patients were not successfully treated,while the total effective rate was 95.51%.There was no significant difference in the total effective rate of fractures in different locations(P>0.05).The mean value of diastolic blood pressure and systolic blood pressure increased significantly after the treatment,and the difference was statistically significant(P<0.05).Postoperative oral and maxillofacial hemorrhage occurred in 2 patients and hemorrhage asphyxia occurred in 1 patient.The patient’s condition was stable after re-hemostasis.Conclusion Based on the difference of clinical symptoms and conditions,the implementation of more targeted treatment and anesthesia can improve the treatment rate of patients.

关 键 词：颌骨折 急救 麻醉 

分 类 号：R782.4[医药卫生—口腔医学]