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目的探讨野战条件下口腔颌面外伤的急救方法。方法收集2008年四川汶川大地震及2010年青海玉树大地震15例伤员的情况进行汇总分析。结果男女比例、各年龄段伤员分布差异无统计学意义,伤型以颌面外伤合并其他部位损伤的复合伤较为常见,而且往往伤情较复杂。结论在非战争医疗救援过程中,颌面部损伤的抢救应遵循损伤控制性外科理论,积极抢救生命,其次尽早清创缝合,恢复口腔颌面部功能及外观。
Objective To investigate the emergency treatment of oral and maxillofacial trauma under field conditions. Methods A total of 15 cases of wounded in the Wenchuan earthquake in Sichuan Province in 2008 and Yushu in 2010 in Qinghai Province were collected and analyzed. Results There was no significant difference in the proportions of men and women and the distribution of casualties among all age groups. It is more common for the traumatic injuries to be combined with maxillofacial injuries and other parts of the traumatic injuries, and the injuries were often complicated. Conclusion In the process of non-war medical rescue, maxillofacial injury should be rescued according to the controlled surgical theory of injury and actively save lives. Second, debridement and suture should be done as soon as possible to restore the function and appearance of oral maxillofacial region.