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颌面颅脑外伤是以颌面伤为主兼有颅脑伤的特殊类型创伤,在处理上比较复杂。从1989年10月至1995年3月间作者参加抢救15例颌面颅脑外伤患者,现报告如下。 临床资料 15例颅脑外伤患者中男性11例,女性4例。年龄12～61岁。致伤原因中,交通事故伤11例,打击伤3例,高处坠落伤1例。受伤情况:额、颌面部及口腔软组织均有程度不同的撕裂伤;上颌骨骨折15例,6例合并有上颌骨矢状骨折;下颌骨骨折14例,额骨骨折3例,颧骨骨折9例,鼻骨骨折7例,颅底骨折5例,眼球破裂伤1例。15例均有昏迷史,入院时清醒4例,其余11例均有不同程度意识障碍,其中闭合性轻、中型颅脑伤12例,开放性颅脑伤3例,
Maxillofacial craniocerebral injury is a special type of traumatic craniocerebral injury with craniocerebral injury, which is more complicated in treatment. From October 1989 to March 1995, the author participated in the rescue of 15 patients with maxillofacial traumatic brain injury, are as follows. Clinical data of 15 cases of traumatic brain injury in 11 males and 4 females. Age 12 to 61 years old. Among the causes of injury, 11 were injured in traffic accidents, 3 were injured in wounded injuries, and 1 was injured in falling injuries. Injuries: amount, maxillofacial and oral soft tissue degrees of laceration; maxillary fracture in 15 cases, 6 cases with maxillary sagittal fracture; mandibular fracture in 14 cases, frontal fracture in 3 cases, the cheekbones 9 cases of fracture, nasal bone fracture in 7 cases, 5 cases of skull fracture, eyeball rupture in 1 case. All 15 cases had coma history, 4 cases were sober on admission, and the other 11 cases had different degrees of disturbance of consciousness. Among them, 12 were mild and moderate craniocerebral injury, 3 were open craniocerebral injury,