口腔颌面部撕裂伤180例急救体会

摘要

Objective To summarize the experience of first aid in oral and maxillofacial lacerations and to ex‐plore the rational first aid measures for oral and maxillofacial laceration .Methods 180 cases of oral and maxillofacial lacerations receiving emergency treatment in our hospital from March 2012 to April 2014 were selected as the obser‐vation subjects and other 50 cases of oral and maxillofacial lacerations repaired by pedicled pectoralis major myocuta‐neous flap were selected as the control group .The clinical data and first aid situation in the patients with were retro‐spective analyzed .Results In this study ,180 cases were cured and discharged ,the recheck at 1 month after discharge showed that the oral occlusal and masticatory function returned to normal ,the curative effects of complicating injuries were satisfactory .At the same time ,other 50 cases were cured and the recheck at 1 month after discharge showed no other complications .Conclusion The first aid of oral and maxillofacial lacerations needs to save lives as the first prin‐ciple ,formulate the rational first aid and nursing scheme ,which conduces to improve the therapeutic effect .%目的：总结口腔颌面部撕裂伤急救体会，探讨口腔颌面部撕裂伤合理的急救措施。方法选取2012年3月至2014年4月宝鸡市中医医院急诊救治的180例口腔颌面部撕裂伤患者作为观察对象，另选50例采用带蒂胸大肌皮瓣修复口腔颌面部撕裂伤作为对照组，回顾性分析口腔颌面部撕裂伤患者的临床资料及急救情况。结果180例患者全部治愈出院，出院1个月复查显示，患者口腔咬合及咀嚼功能恢复正常，合并伤治疗效果满意，50例患者也同时治愈，出院后1个月复查显示并无其他并发症。结论口腔颌面部撕裂伤急救需要以抢救生命为首要原则，制订合理的救治及护理方案，有利于改善治疗效果。