1临床资料1.1一般情况患者女,74岁,因车祸被车拖行致面部外伤4h入院。查体:额面部大面积撕脱,眶骨暴露,面部多处骨折,骨折断端移位,左眼视力不能配合检查,眼周组织撕脱、组织结构难以辨认,眼球暴露,创面有大量泥沙、石块等污染物,患者张口受限,鼻腔贯通伤,牙龈黏膜裂开。CT提示 1 Clinical data 1.1 General Female patient, aged 74, was dragged into the hospital for facial trauma 4h after a car crash. Examination: frontal large area avulsion, orbital bone exposure, multiple fractures of the face, fracture fracture displacement, visual acuity can not match the left eye examination, avulsion of tissue around the eye, organizational structure is difficult to identify, eye exposure, a large number of wounds on the wound Sand, stones and other contaminants, patients with limited mouth opening, nasal injury, gingival mucosa rupture. CT tips