急性颅面损伤的早期救治和Ⅰ期修复  

Early treatment and Ⅰ-stage repair of acute facial and brain injuries

作　　者：李建文[1] 陈长才[2] 李智斌[1] 谭林琼[1] 

机构地区：[1]江门市中心医院神经外科,529030 [2]第一军医大学附属珠江医院神经外科

出　　处：《中华创伤杂志》2004年第5期267-269,共3页Chinese Journal of Trauma

摘　　要：目的　探讨急性颅面损伤的早期救治和Ⅰ期修复的方法和意义。　方法　回顾分析 38例青壮年急性颅面损伤患者。伤因为交通伤、工伤和枪击伤等。所有患者经严格消毒和清创后清除异物 ,并根据颅面损伤的位置以及损伤程度 ,分别应用自身组织、生物胶、钛网等进行硬膜、颅骨的修复重建 ,其中 33例 (87% )Ⅰ期修复。术后充分抗感染治疗。　结果　患者全部治愈。术后随访 6个月～ 11年 ,无一例发生脑脊液漏和颅内感染 ,局部外观满意。　结论　急性颅面损伤应进行早期救治 ,根据病变位置和损伤程度进行Ⅰ期修复安全、有效。Objective To study the method for early treatment and Ⅰ-stage repair of the acute facial and brain injuries and its significance. Methods A retrospective study was performed in 38 cases with acute cranial injury,who underwent early treatment and surgical repair of the cranial bone and/or dura defects with self-tissues,glue material and titanium net depending on individual conditions. Of all,33 cases (87%) received Ⅰ-stage repair. Antibiotic therapy was performed in all the cases after operation. Results All patients recovered with satisfactory regional appearance. No intracranial infection or rhinorrhea of cerebral spinal fluid occurred among them during the follow-up for from six months to 11 years. Conclusion For the acute facial and brain injuries,early treatment and Ⅰ-stage repair based on the injury site and injury severity can attain safe and effective results.

关 键 词：急性颅面损伤 影像学检查 脑内血肿 显微外科 颅底骨缺损 

分 类 号：R651.1[医药卫生—外科学]