CAJ | 학술논문

目的：探讨颅面部骨折合并颅脑损伤的临床表现及救治要点。方法：回顾性分析60例颅面部骨折合并颅脑损伤的临床资料。结果：入院时已脑疝形成15例，经神经外科手术治疗后，死亡5例，其余患颅脑损伤者治愈。颅面部骨折中上颌骨和下颌骨骨折共27例，20例行小型或微型接骨板内固定，2例行牙弓夹板颌间牵引，5例行可吸收内固定材料固定，效果良好，其他骨折自行愈合。结论：颅面部骨折合并颅脑损伤的临床救治需多学科综合治疗，早期全面系统的检查，减少漏诊率，从而获得满意的治疗效果。
목적：탐토로면부골절합병로뇌손상적림상표현급구치요점。방법：회고성분석60례로면부골절합병로뇌손상적림상자료。결과：입원시이뇌산형성15례，경신경외과수술치료후，사망5례，기여환로뇌손상자치유。로면부골절중상합골화하합골골절공27례，20례행소형혹미형접골판내고정，2례행아궁협판합간견인，5례행가흡수내고정재료고정，효과량호，기타골절자행유합。결론：로면부골절합병로뇌손상적림상구치수다학과종합치료，조기전면계통적검사，감소루진솔，종이획득만의적치료효과。
Objective: To investigate the clinical manifestations and treatment of craniofacial fracture combined with traumatic brain injury. Methods: A retrospective analysis of 60 cases of clinical data of craniofacial fracture combined with traumatic brain injury was made. Results: During admission, there were 15 cases of hernia formation. After the department of neurosurgery operation treatment, 5 cases died; the other patients were cured. There were 27 cases of maxillary and mandibular fracture, 20 cases of mini plate internal fixation, 2 cases of dental arch splint intermaxillary traction, and 5 cases of absorbable internal fixation material. All of them achieved good effect. Conclusion: The clinical treatment of craniocerebral injury with craniofacial fractures needs multidisciplinary treatment, early comprehensive system of inspection and the reduction of misdiagnosis, which can obtain a satisfactory therapeutic effect.