1 临床资料男患王某,18岁,农民。以右面部大面积软组织、面骨复合性炸伤并右眼球脱出急诊入院。约10h前,患者在野外行猎,准备射击时枪堂突然爆炸,致右颌面部大面积炸伤,当时昏迷,16小时后被他人转送我院。入院检查:T:39℃,P89次/min,BP6.7/0kPa,神志不清,面部血肉模糊,被动体位。四肢厥冷,深浅反射消 1 clinical data Male patient Wang, 18 years old, farmer. To the right side of a large area of ​​soft tissue, facial bone injury and the right eye out of the emergency room admission. Approximately 10h ago, the patient was hunting in the wild and the gunboat suddenly exploded when shooting for firing, resulting in a large area of ​​the right maxillofacial injury. At that time, he was unconscious and was transferred to our hospital 16 hours later. Admission examination: T: 39 ℃, P89 times / min, BP6.7 / 0kPa, confusion, facial blood and flesh, passive position. Extremities Jueleng, depth reflection cancellation