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目的:观察合并多发伤的口腔颌面骨折的救治效果。方法:对47例合并多发伤的口腔颌面骨折患者,在保持呼吸道通畅,保持生命体征稳定的前提下,与相关专科合作,处理颅脑外伤、胸腹外伤、骨盆或长骨骨折等多发伤。处理口腔颌面骨折的重点是在骨折复位后以微型钛板作坚固内固定,辅以颌间固定,坚持术后功能锻炼。结果:47例患者均无严重并发症发生,口腔颌面外伤治愈率为95.74%。结论:合并多发伤的口腔颌面骨折应根据伤情和严重程度决定救治次序,针对不同类型颌面骨折,选择合适的微型钛板作坚固内固定。
Objective: To observe the therapeutic effect of oral and maxillofacial fractures with multiple injuries. Methods: Forty-seven patients with oral and maxillofacial fracture complicated with multiple trauma were treated with relevant specialties to treat traumatic brain injury, chest and abdomen trauma, pelvic or long bone fracture and other multiple injuries under the premise of keeping the airway open and keeping the vital signs stable. The treatment of oral and maxillofacial fractures focus on the reduction of fractures to micro-titanium plate for internal fixation, supplemented by intermaxillary fixation, adhere to postoperative functional exercise. Results: No serious complications occurred in 47 patients. The cure rate of oral and maxillofacial trauma was 95.74%. Conclusion: The oral and maxillofacial fractures with multiple trauma should be decided according to the severity of the injury and treatment order, for different types of maxillofacial fractures, choose a suitable micro-titanium plate for internal fixation.