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口腔内爆炸伤是一种非常少见的特殊外伤,这种外伤在致伤原因、伤情特点和治疗过程均有些特色。现就本人在15年的临床工作中所见的3例报道如下。 1 病例介绍 [例1]女,11岁,因误食含雷管的馒头片炸伤,伤后3h入院。检查:唇颊、舌、口底多处软组织撕裂伤,颏部开放性骨折。经抗休克,补充血容量,全麻下彻底清创止血,骨折端钢丝结扎固定,严密缝合伤口。住院20d,伤口愈合良好,咬合关系正常。半年后复诊,张口两横
Oral explosive injury is a very rare special trauma, this injury in the cause of injury, injury characteristics and treatment are some characteristics. Now in my 15 years of clinical work seen in 3 cases are reported below. 1 case description [Example 1] Female, 11 years old, due to eating detonated buns film injury, 3h after admission to hospital. Check: lip, cheek, tongue, mouth many soft tissue lacerations, chin open fractures. After anti-shock, add blood volume, complete debridement under general anesthesia to stop bleeding, ligature fixed steel wire, close the wound. Inpatient 20d, the wound healed well, occlusion relationship is normal. Referral after six months, mouth open two horizontal