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颌面外伤继发尿崩临床极为罕见,现将作者所诊治的两例报告如下。 病例1,男,30岁。因车祸于1986年10月28日9时急症入院。入院时T 38.1℃,P 86次/分,R 21次/分,BP 20/12Kpa,上唇前部、鼻背部及颏部各有一较长裂口,深达骨膜,轻肿。(?)缺如,(?)Ⅰ°松动,下牙弓缩小,前牙区呈开(牙合)状。颏正中部骨的连续性中断,左颧弓处凹陷,张口Ⅲ°受限,鼻腔有血液及清液流出。结合辅助检查,诊断为:①上、下颌骨骨折;②左颧弓骨折;③颌面部软组织撕裂伤;④颅前凹骨折;⑤脑震荡。入院后立即给予清创缝合及颌间结扎,静滴抗
Maxillofacial trauma secondary diabetes insipidus is extremely rare, now the author treated two cases reported as follows. Case 1, male, 30 years old. Due to a car accident at 9 o'clock on the October 28, 1986 emergency admission. Admission T 38.1 ℃, P 86 beats / min, R 21 beats / min, BP 20 / 12Kpa, upper lip anterior, nasal back and chin each have a long gap, deep as the periosteum, swollen. (?) Shortage, (?) Ⅰ ° loosen, lower arch narrowing, anterior teeth area was open (occlusion) -like. Continuous chin is interrupted in the middle of the chin, left zygomatic arch at the depression, limited mouth opening Ⅲ °, nasal blood and serum outflow. Combined with the auxiliary examination, the diagnosis is: ① upper and mandibular fractures; ② left zygomatic arch fracture; ③ maxillofacial soft tissue laceration; ④ anterior cranial fossa fractures; ⑤ concussion. Immediately after admission to debridement and intermaxillary ligation, intravenous infusion