颅面部骨折合并颅脑损伤的诊疗分析

J4 ›› 2013, Vol. 12 ›› Issue (12): 27-28.

颅面部骨折合并颅脑损伤的诊疗分析

1.大理卫校，云南大理 671000；2.大理学院大理附属医院，云南大理 671000

收稿日期:2013-06-03 出版日期:2013-12-15 发布日期:2013-12-15
作者简介:华志贞，副主任医师，主要从事口腔及五官科临床及教学研究.

Diagnosis and Treatment Analysis of Craniofacial Fracture Combined with Traumatic Brain Injury

1.Dali Health School, Dali, Yunnan 671000, China;
2. Dali Affiliated Hospital of Dali University, Dali, Yunnan 671000, China

Received:2013-06-03 Online:2013-12-15 Published:2013-12-15

摘要/Abstract

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。

关键词: 颅面部骨折, 颅脑损伤, 综合性治疗

Abstract:

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.

Key words: craniofacial fracture, traumatic brain injury, comprehensive treatment

中图分类号:

R683.5

华志贞, 靳国伟. 颅面部骨折合并颅脑损伤的诊疗分析[J]. J4, 2013, 12(12): 27-28.

HUA Zhi-Zhen, JIN Guo-Wei. Diagnosis and Treatment Analysis of Craniofacial Fracture Combined with Traumatic Brain Injury[J]. J4, 2013, 12(12): 27-28.

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