颅底骨折脑挫伤并颌面部挫裂伤的急诊救治

Treatment of Basilar Skull Fracture Combined with Contusion of Brain and Parotid Region in Emergenic Surgery

目的:探讨颅底骨折并脑挫裂伤、颌面部挫裂伤患者的初期急诊救治重点。方法:回顾性分析76例颅底骨折并脑挫裂伤、颌面部挫裂伤病人的初期急诊救治经验結合资料探讨该类病人在急诊期间抢救的重点。结果:76例颅底骨折并脑挫裂伤、颌面部挫裂伤的病人在急诊期间由于出现危及生命的呼吸道堵塞而造成呼吸功能不良或窒息,最终63例作了气管切开插管治疗。4例由于窒息而死亡。结论:颅底骨折并脑挫裂伤、颌面挫裂伤病人急诊期间必须首先做好确保呼吸道通畅的治疗工作。保持呼吸道通畅具有重要的意义。

Objective： To investigate the critical treatment of basilar skull fracture combined with contusion of brain and parotid region at first aid phase. Method： 76 cases of basilar skull fracture combine with contusion of brain and parotid region as well as the experience comes from them were analyzed retrospectively to study the critical treatment at first aid phase. Result： In 76 cases, the asphyxia and respiratory insufficiency arose by obstruct of airway. Finally,63 cases get tracheotomy, 4 cases die of asphyxia. Conclusion： Keeping airway expedite is the fLrst important treatment in emergency phase.