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颜面骨骨折伴发颅脑、胸部、腹部及四肢的损伤是常见的。作者的资料占39.2%。材料和方法作者对118例患者进行了治疗。年龄为18~74岁。下颌骨骨折35例,其中双侧骨折15人。上颌骨骨折68例,其中Le FortⅠ型8人,Ⅱ型22人,Ⅲ型47人。为避免吸入性肺炎、感染、疼痛性休克及其他并发症,在血液动力学及呼吸等主要指征正常之后,尽早进行专科治疗。第一昼夜25人,2~3昼夜45人,3~5昼夜32人,6~8昼夜10人,10~15昼夜6人。15例有牙齿的下颌骨骨折用龈上夹板固定。15例上颌骨骨折借金属丝固定到颧弓及外侧眶缘上。此外有35例下颌骨,68例
Facial fracture with brain, chest, abdomen and limbs are common injuries. The author's information accounted for 39.2%. Materials and Methods The authors treated 118 patients. Age is 18 ~ 74 years old. 35 cases of mandibular fracture, including bilateral fracture of 15 people. 68 cases of maxillary fracture, including Le Fort Ⅰ type 8, type Ⅱ 22, type Ⅲ 47 people. In order to avoid aspiration pneumonia, infection, painful shock and other complications, specialist treatment should be carried out as soon as possible after the main indications such as hemodynamics and respiration are normal. The first day and night 25 people, 2 to 3 days and nights 45 people, 3 to 5 days and nights 32 people, 6 to 8 days and nights 10 people, 10 to 15 days and nights 6 people. Fifteen cases of mandibular fractures with teeth were fixed with supragingival splints. Fifteen cases of maxillary fractures were fixed with wire to the zygomatic arch and lateral orbital rim. In addition there are 35 cases of mandible, 68 cases