急诊期鼻骨骨折的诊治

Diagnosis and restitution of nasal bone fractures in emergency management

目的:提高急诊期鼻骨骨折的诊治效果。方法:对152例本病患者行骨骨折整复术104例,其中鼻骨骨拆整复加鼻隔矫正术38例,鼻骨骨折整复加鼻窦骨折整复术13例,单纯鼻骨骨折整复术53例。结果:除放弃治疗12例外,治愈130例,好转10例。结论:详细检查并酌行CT扫描,注意发现鼻中隔骨折、颅脑损伤及鼻窦骨折的存在,严重复合伤按常规救治原则处理,伴鼻中隔骨折者可同时行鼻中隔矫正术。

Objective：To improve the diagnosis of nasal bone fractures in emergency.Methods：104 cases underwent fracture taxis,38 cases underwent taxis and sepum corrected operation,1 3 cases underwent taxis and nasal sinus operation, 53 cases nasal bone fractures only underwent fracture taxis.Results：130 cases were cured and 10 cases were improved.Conclusion：Patients must be checked carefully also with CT scan,one must pay attention to the symptoms of septum fractures, and the possibility of craniocerebral injury and nasal sinus fractures.Severe injuries must be treated according to the emergency treatment principle;patients with septum fractures may be managed simultaneously with septum corrected operation.