摘要
颅面－颅底穿透伤属于头部创伤中的严重类型，以火器伤为主，其次为锐器伤。西京医院近３５年期间收治急性颅面－颅底穿透伤４７例，男３６例（７６６％）、女１１例（２３４％），年龄３月～６７岁。致伤物均经颅面－颅底穿入颅腔而伤及脑结构。经急救和手术处理，４例死亡（８５％）。于３个月时随访研究表明，３０例恢复良好（６３８％）；轻残、重残及植物生存率分别为１９２％、６４％和２１％。长期随访研究结果，３８例恢复满意，其中２７例恢复工作能力。
Craniofacial-basicranial penetrating injuries (CBPI) remain one of the most lethal factors of all head traumas The first major cause of injury in this group is firearm wounds and, second, sharp instrument injury Data were reviewed of 47 patients suffering from acute CBPI and having been treated at Xijing Hospital during the past 35 years These patients consisted of 36 males (76 6%) and 11 females (23 4%) ranging in age from 3 months to 67 years (median 28 4 years) The instruments causing trauma via craniofacial-basicranial entered cranial cavity and induced damage of brain structure All cases were urgent with the patients in severe and unstable states After emergency operation, 4 cases died (8 5%) 30 cases (63 8%) made a good recovery 3 months after operation Moderate and severe disability and vegetative states were 19 2%, 6 4% and 2 1% respectively Long term follow up studies indicated that 38 recovered well and 27 were able to resume their work
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
1997年第3期160-163,共4页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
基金
全军留学回国人员基金
关键词
颅面
颅底伤
穿透伤
火器伤
急救
Craniofacial-basicranial injury Penetrating injury Firearm wound First-aid
