摘要
目的:探讨颅面部骨折合并颅脑损伤的临床表现及救治要点。方法:回顾性分析60例颅面部骨折合并颅脑损伤的临床资料。结果:入院时已脑疝形成15例,经神经外科手术治疗后,死亡5例,其余患颅脑损伤者治愈。颅面部骨折中上颌骨和下颌骨骨折共27例,20例行小型或微型接骨板内固定,2例行牙弓夹板颌间牵引,5例行可吸收内固定材料固定,效果良好,其他骨折自行愈合。结论:颅面部骨折合并颅脑损伤的临床救治需多学科综合治疗,早期全面系统的检查,减少漏诊率,从而获得满意的治疗效果。
Objective: To investigate the clinical manifestations and treatment of craniofacial fracture combined with traumatic brain injury. Methods: A retrospective analysis of 60 cases of clinical data of craniofacial fracture combined with traumatic brain injury was made. Results: During admission, there were 15 cases of hernia formation. After the department of neurosurgery operation treatment, 5 cases died; the other patients were cured. There were 27 cases of maxillary and mandibular fracture, 20 cases of mini plate internal fixation, 2 cases of dental arch splint intermaxillary traction, and 5 cases of absorbable internal fixation material. All of them achieved good effect. Conclusion: The clinical treatment of craniocerebral injury with craniofacial fractures needs multidisciplinary treatment, early comprehensive system of inspection and the reduction of misdiagnosis, which can obtain a satisfactory therapeutic effect.
出处
《大理学院学报(综合版)》
CAS
2013年第12期27-29,共3页
Journal of Dali University
关键词
颅面部骨折
颅脑损伤
综合性治疗
craniofacial fracture
traumatic brain injury
comprehensive treatment