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平时口腔颌面部爆炸伤较罕见。就我科近年来收治的5例,分析报导如下: 5例患者均为青年男性(17～30岁)。1例为猎枪管炸裂、2例为雷管爆炸、2例井下作业时炸伤.5例伤情均较复杂,除1例外余均有多处粉碎性骨折,同时软组织裂伤及伴有灼伤,1例并金属异物存留.4例均有Ⅰ级脑损伤、1有眼球穿通伤颅底骨折,此外2例有前臂骨折、1例肠穿孔。此例肠穿孔患者因中毒性休克死亡余4例痊愈但均后遗不同程度的组织缺损。 讨论
Common oral and maxillofacial explosive injury is rare. In our department in recent years admitted to 5 cases, the analysis reported as follows: 5 patients were young men (17 to 30 years old). 1 case of shotgun tube burst, 2 cases of detonator explosion, and 2 cases of downhole operation injuries .5 cases of injury are more complicated, except for 1 case were more than a few comminuted fracture, soft tissue laceration and burns accompanied by, 1 patient had metal foreign body, 4 patients had grade Ⅰ brain injury, 1 had penetrating cranial skull fracture, and 2 had forearm fracture and 1 had intestinal perforation. In this case of intestinal perforation patients died of toxic shock more than 4 cases were cured, but were all left behind to varying degrees of tissue defects. discuss