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The clinical classification, diagnosis and treatment of penetrating craniofacial injuries
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF EMERGENCY MEDICINE
- Issue:
- 3
- DOI:
- 10.3760/j.issn:1671-0282.2006.03.003
- Key Word:
- 颅面穿通伤;临床特征;诊断;治疗
Abstract： 目的探讨颅面穿通性损伤的临床分型及诊治原则.方法回顾性分析1994年1月至2005年1月本科收治的36例颅面穿通性损伤患者的资料,其中非火器伤27例,火器伤9例;穿通部位在经眶部18例,经筛窦8例,经中颅窝底5例,经颅后窝3例,经蝶窦2例.结果恢复良好者22例,轻残4例,重残3例,死亡7例.面容恢复满意11例,基本满意14例,瘢痕挛缩3例,面部塌陷1例.20例脑脊液漏术后2～27 d停止,2例经再次手术治愈.随访6个月至11年未见癫痫发作,无1例发生颅内感染和创面局部伤口感染.结论经眶部穿通伤是颅面穿通伤的最常见类型.颅面穿通性损伤病死率和残废率高,救治难度大,因此,应重视病史及生命体征变化,妥善处理脑损伤,尽早彻底清创Ⅰ期手术修复.
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